Individual
MRS. JENNIFER LOUISE PONDER- PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 W. RAMSEY, STE 100, BANNING, CA 92220
(951) 849-7142
Mailing address
1330 W. RAMSEY, STE 100, BANNING, CA 92220
(951) 849-7142
(951) 849-1762
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33478
CA
Other
Enumeration date
01/14/2009
Last updated
01/06/2011
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