Individual
MR. ANTOINIO THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 COLLINS RD APT 5, JEFFERSON, WI 53549-1984
(262) 744-8432
Mailing address
PO BOX 5694, MILWAUKEE, WI 53205-0694
(262) 744-8432
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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