Individual
MARY JANE LIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
Mailing address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
05/11/2007
Last updated
06/28/2023
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