Individual
DIANA PAOLA ONTIVEROS
Active
Individual
DIANA PAOLA ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
U9325
TX
390200000X
Student in an Organized Health Care Education/Training Program
262049
NC
Other
Enumeration date
04/22/2020
Last updated
07/16/2024
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