Individual
ANTHONY MARTEZ CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 ELM AVE, LONG BEACH, CA 90802-2429
(661) 886-6507
Mailing address
508 ELM AVE, LONG BEACH, CA 90802-2429
(661) 886-6507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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