Individual
ANTULIO TAYLOR LANDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11150 AVENUE 368, VISALIA, CA 93291-8940
(559) 735-1353
(559) 713-3296
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 624-8000
(559) 713-3244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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