Individual
MRS. JENNIFER IRONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH. TECH.
Contact information
Practice address
1701 W KANAI AVE, PORTERVILLE, CA 93257-1873
(559) 782-8136
Mailing address
713 WESTWOOD DRIVE, PORTERVILLE, CA 93257
(559) 592-1359
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30186
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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