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Individual

MARIAN ANTONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2044 W AVENUE H6, LANCASTER, CA 93536-8351
(909) 996-6768
Mailing address
2044 W AVENUE H6, LANCASTER, CA 93536-8351
(909) 996-6768

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197610772
CA

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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