Individual
MRS. RONDA RENEE EGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1717 ORANGEWOOD AVE., ORANGE, CA 92868
(714) 712-8340
Mailing address
1425 SUDENE AVE, FULLERTON, CA 92831-4713
(714) 871-6124
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 35419
CA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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