Individual
ALEXIS URIEL TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(909) 643-2340
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122657
CA
1041C0700X
Clinical Social Worker
122657
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/29/2021
Last updated
02/03/2025
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