Individual
MR. ANTHONY CASILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2412 DUTCH MILL DR, FAIRBORN, OH 45324-2663
(937) 672-5765
Mailing address
2412 DUTCH MILL DRIVE, FAIRBORN, OH 45324-2663
(937) 672-5765
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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