Individual
ANTONIO R PANTUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAREGIVER
Contact information
Practice address
1766 E CALAVERAS ST, ALTADENA, CA 91001-3310
(626) 422-5842
Mailing address
235 1/2 E LIME AVE, MONROVIA, CA 91016-5158
(626) 422-5842
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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