Individual
BERNIE ANTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 BETHESDA DR, ZANESVILLE, OH 43701-0815
(740) 569-5737
Mailing address
930 BETHESDA DR, ZANESVILLE, OH 43701-0815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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