Individual
MS. CINDY ELLEN TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10650 SIERRA AVE STE B, FONTANA, CA 92337-7664
(909) 550-3320
Mailing address
6790 FAIRCHILD ST, FONTANA, CA 92336-4192
(909) 512-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11644
CA
363A00000X
Physician Assistant
3473
AZ
Other
Enumeration date
05/04/2007
Last updated
09/17/2019
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