IAN K ANTONIO

FAYETTEVILLE, AR
NPI1679159289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
IAN K ANTONIO
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
Mailing Address
IAN K ANTONIO
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240