SearchNorth Carolina225200000X

Heather Ontiveros

NPI 1053703959 · on the registry since 2015

Practice

Address
401 E Rhode Island Ave
Southern Pines, NC 28387
Phone
(910) 692-0371
Organisation at this address
Penick Village Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina