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Jennifer Louise Ponder- Peters

Licensed Psychiatric Technician in Banning, CA. Individual provider (NPI-1).

NPI number1376780296
StatusActive
Last updated in NPPESJan 6, 2011

Details

NPI
1376780296
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Louise Ponder- Peters
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2009
Last updated
Jan 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician33478CAYes

Practice location

1330 W. Ramsey
Ste 100
Banning, CA 92220

Phone 951-849-7142

Mailing address

1330 W. Ramsey
Ste 100
Banning, CA 92220

Phone 951-849-7142 · Fax 951-849-1762

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Other Licensed Psychiatric Technician providers in Banning, CA

All 5 Licensed Psychiatric Technician providers in Banning · All 652 providers in Banning

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