Individual
ANTONIO T TRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11792
SFGH INTERNAL USE ONLY
—
Enumeration date
07/31/2007
Last updated
07/31/2007
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