Provider Demographics
NPI:1689128472
Name:STROUGHTER, ANTOINETTE
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:STROUGHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 WARREN ST
Mailing Address - Street 2:APT. 101
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4042
Mailing Address - Country:US
Mailing Address - Phone:510-885-1060
Mailing Address - Fax:
Practice Address - Street 1:986 WARREN ST
Practice Address - Street 2:APT. 101
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4042
Practice Address - Country:US
Practice Address - Phone:510-885-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other