Individual
MARIFEL ANTONETTE IVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20181 CROWN REEF LN, HUNTINGTON BEACH, CA 92646-4515
(562) 644-0603
(714) 369-2780
Mailing address
20181 CROWN REEF LN, HUNTINGTON BEACH, CA 92646-4515
(562) 644-0603
(714) 369-2780
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
306004786
CA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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