ATTIVO ANTONIO PADILLA

WAUKESHA, WI
NPI1174254361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
ATTIVO ANTONIO PADILLA
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7716
Mailing Address
ATTIVO ANTONIO PADILLA
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7716
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