CRYSTAL RICH PONTIVEROS

LOS ANGELES, CA
NPI1801411491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
CRYSTAL RICH PONTIVEROS
5401 FOUNTAIN AVE
LOS ANGELES, CA 90029-1006
Phone number: 323-465-2106
Mailing Address
CRYSTAL RICH PONTIVEROS
1122 E ELK AVE APT 106
GLENDALE, CA 91205-4604
Phone number:
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