MRS. Heather Wm Ontiveros, PA-C

NPI #1386890838 in Murrieta, California

Provider Information

NPI Number: 1386890838
Entity Type: Individual
Name: MRS. Heather Wm Ontiveros, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 15, 2008
Last Updated: Sep 20, 2011

Practice Location

Address: 41880 KALMIA ST STE 100
City: Murrieta
State: California
ZIP Code: 92562-8835
Phone: (951) 696-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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