Individual
CINDY LEE ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
518 E SAGE BRUSH ST, GILBERT, AZ 85296-2327
(480) 497-3783
Mailing address
518 E SAGE BRUSH ST, GILBERT, AZ 85296-2327
(480) 497-3783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT09109
AZ
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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