Individual
SEMI ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 W HAYWARD AVE APT 23, PHOENIX, AZ 85021-7090
(626) 376-2975
Mailing address
106 W OSBORN RD # 1023, PHOENIX, AZ 85013-3909
(626) 376-2975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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