Individual
MR. ANTHONY ALLEN MATTHEWS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(952) 767-2267
Mailing address
3005 EAGANDALE PL, EAGAN, MN 55121-2133
(952) 767-2267
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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