EDGAR ONTIVEROS

LA PUENTE, CA
NPI1598007312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  86821)
Enumeration Date2013-03-19
Last Update Date2024-11-13
Business Address
EDGAR ONTIVEROS
904 WILLOW AVE
LA PUENTE, CA 91746-1696
Phone number: 626-931-2851
Mailing Address
EDGAR ONTIVEROS
904 WILLOW AVE
LA PUENTE, CA 91746-1696
Phone number: 626-931-2851
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