ANTHONY JOHN BALTIERRA

MONROE, WI
NPI1548944945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
Mr. ANTHONY JOHN BALTIERRA LAT, ATC
515 22ND AVE
MONROE, WI 53566-1569
Phone number: 608-324-2000
Mailing Address
Mr. ANTHONY JOHN BALTIERRA LAT, ATC
223 MEADOW DR
ORANGEVILLE, IL 61060-9218
Phone number: 815-541-8214