ANTHONY ALONZO FAVOT

LA HABRA, CA
NPI1215572417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-11-12
Last Update Date2019-11-12
Business Address
Mr. ANTHONY ALONZO FAVOT
2500 SIDON AVE.
LA HABRA, CA 90631
Phone number: 734-842-2232
Mailing Address
Mr. ANTHONY ALONZO FAVOT
2500 SIDON AVE.
LA HABRA, CA 90631
Phone number: 734-842-2232
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