Individual
GABRIELLA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 S 1070 W STE B, WEST VALLEY CITY, UT 84119-1570
(385) 261-2349
Mailing address
3375 W 7800 S APT 118, WEST JORDAN, UT 84088-4551
(385) 424-5414
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
UT
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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