Individual
MR. ANTHONY JONATHAN IDROGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338
Mailing address
PO BOX 277, BIEBER, CA 96009-0277
(530) 294-5241
(530) 294-5392
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
05/16/2016
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