Individual
DR. ANTHONY MARIO ANTONACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1336 N MOORPARK RD, SUITE 166, THOUSAND OAKS, CA 91360-5224
(805) 208-0797
Mailing address
1336 N MOORPARK RD, SUITE 166, THOUSAND OAKS, CA 91360-5224
(805) 208-0797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17637
CA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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