IVAN OMAR MIRAMONTES

MONTCLAIR, CA
NPI1053272997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-11-20
Last Update Date2025-11-20
Business Address
IVAN OMAR MIRAMONTES
5625 KINGSLEY ST
MONTCLAIR, CA 91763-3948
Phone number: 909-984-3634
Mailing Address
IVAN OMAR MIRAMONTES
950 W D ST
ONTARIO, CA 91762-3026
Phone number: 909-984-3634