Individual
GRETCHEN ADONAI RENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
Mailing address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40568
CA
Other
Enumeration date
09/19/2017
Last updated
08/19/2021
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