Individual
LINDSEY ANN ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10699 LA VINE ST, RANCHO CUCAMONGA, CA 91701-5336
(714) 403-4728
Mailing address
10699 LA VINE ST, RANCHO CUCAMONGA, CA 91701-5336
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20144
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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