Individual
ANTONY IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
Mailing address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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