Individual
AMY TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1605 E D ST, ONTARIO, CA 91764-4405
(909) 983-4116
(909) 459-2906
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
(909) 983-4116
(909) 459-2906
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230043769
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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