Maria Antillon
Maria Antillon is a Developmentally Disabled Services Day Training Agency in Green River, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
720 Wind River Dr BGreen River, WY 82935-5725
Phone: (307) 875-5781
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|
Record details
| NPI number | 1215131420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 720 Wind River Dr, B, Green River, WY 82935-5725 |
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