Individual
ANTONIO SOTRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3229 S CHEROKEE LN STE 1400, WOODSTOCK, GA 30188-4461
(470) 499-2480
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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