Individual
GERALDINE CATHY PONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
145 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 470-2409
Mailing address
15435 GREENHORN RD, GRASS VALLEY, CA 95945-8454
(209) 276-9402
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35151
CA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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