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Individual
ERICA LISA ONTIVEROS
Active
Individual
ERICA LISA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
818932
TX
363LF0000X
Family Nurse Practitioner
Primary
1084148
TX
363LF0000X
Family Nurse Practitioner
F04220448
TX
Other
Enumeration date
11/18/2021
Last updated
12/28/2022
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