Individual
ANTHONY R. PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4741 ENGLE RD, CARMICHAEL, CA 95608-2223
(916) 977-0949
Mailing address
4741 ENGLE RD, CARMICHAEL, CA 95608-2223
(916) 977-0949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1265086532
CA
Other
Enumeration date
07/25/2019
Last updated
08/21/2019
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