Individual
ALEXANDRA ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
18540 COLLINS ST, APT 121, TARZANA, CA 91356-2231
(818) 675-5463
Mailing address
18540 COLLINS ST, APT 121, TARZANA, CA 91356-2231
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16944
CA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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