ANGELO ONTIVEROS

SACRAMENTO, CA
NPI1902503428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OH  003388)
Enumeration Date2023-02-15
Last Update Date2023-02-15
Business Address
Mr. ANGELO ONTIVEROS
1851 HERITAGE LN
SACRAMENTO, CA 95815-4926
Phone number: 510-337-7950
Mailing Address
Mr. ANGELO ONTIVEROS
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501-1078
Phone number: 510-337-7950