Pettie Ontell, | |
16489 Gala Ave, Fontana, CA 92337-1526 | |
(323) 697-4357 | |
Not Available |
Full Name | Pettie Ontell |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 16489 Gala Ave, Fontana, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013524701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 50519 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Pettie Ontell, 16489 Gala Ave, Fontana, CA 92337-1526 Ph: (323) 697-4357 | Pettie Ontell, 16489 Gala Ave, Fontana, CA 92337-1526 Ph: (323) 697-4357 |
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