ALEC MARSHALL ANTANAITIS

JEFFERSON, IA
NPI1104715770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IA  H184694)
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
Mr. ALEC MARSHALL ANTANAITIS
1000 W LINCOLN WAY
JEFFERSON, IA 50129-1685
Phone number: 515-386-2114
Mailing Address
Mr. ALEC MARSHALL ANTANAITIS
1523 GROVE ST
ADEL, IA 50003-1028
Phone number: 725-260-9420