Individual
ANTONIO DEON DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
544 SINGLETON ST, MOBILE, AL 36610-4725
(251) 456-7589
(251) 452-0568
Mailing address
PO BOX 13726, MOBILE, AL 36663-0726
(251) 456-7589
(251) 452-0568
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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