ANTONIO IGNACIO-DE DIOS

MOUNT VERNON, WA
NPI1023884863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
ANTONIO IGNACIO-DE DIOS
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273-5633
Phone number: 360-755-6405
Mailing Address
ANTONIO IGNACIO-DE DIOS
1216 S 13TH ST
MOUNT VERNON, WA 98274-5102
Phone number:
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