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Individual

ANTHONY CARLOS MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R1491481222

Contact information

Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 487-3600
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1491481222
CA

Other

Enumeration date
01/17/2023
Last updated
01/24/2024
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