Jevonne Foster
Licensed Psychiatric Technician in Fontana, CA. Individual provider (NPI-1).
NPI number1154106946
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1154106946
- Entity type
- Individual (NPI-1)
- Name
- Jevonne Foster
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2023
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 36476 | CA | Yes |
Practice location
15217 San Bernardino AveFontana, CA 92335-5327
Phone 909-908-6496
Mailing address
15217 San Bernardino AveFontana, CA 92335-5327
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Licensed Psychiatric Technician providers in Fontana, CA
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All 26 Licensed Psychiatric Technician providers in Fontana · All 3,550 providers in Fontana
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