Individual
MAUDIE LEIGH TONDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 E CITRUS AVE, REDLANDS, CA 92374-3727
(909) 213-9065
Mailing address
1150 E CITRUS AVE, REDLANDS, CA 92374-3727
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34165
CA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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