Individual
EVA ARIZA CANTORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
(909) 983-1166
Mailing address
316 E E ST, ONTARIO, CA 91764-3712
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40400
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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