Individual
IVETTE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 E PALMDALE BLVD, PALMDALE, CA 93550-4745
(818) 996-1051
Mailing address
1037 E PALMDALE BLVD, PALMDALE, CA 93550-4745
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
06/05/2025
Last updated
06/11/2025
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