Individual
CHEYENNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2295 S. VINEYARD AVE, MOD 'B' STE. 230, ONTARIO, CA 91761
(909) 724-3320
Mailing address
2295 S. VINEYARD AVE, MOB 'D' STE 230, ONTARIO, CA 91761
(909) 587-7214
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW66720
CA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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