FIDES D ANTONIO

WALNUT CREEK, CA
NPI1609462845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95015546)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
FIDES D ANTONIO NP
130 LA CASA VIA STE 108
WALNUT CREEK, CA 94598-3036
Phone number: 877-448-3627
Mailing Address
FIDES D ANTONIO NP
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 630-655-6748