ANTHONY STIDHUM

HUNTINGTON PARK, CA
NPI1346020591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
ANTHONY STIDHUM
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
ANTHONY STIDHUM
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: