MRS. Jennifer Louise Ponder- Peters
NPI #1376780296 in Banning, California
Provider Information
- NPI Number
- 1376780296
- Entity Type
- Individual
- Name
- MRS. Jennifer Louise Ponder- Peters
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jan 14, 2009
- Last Updated
- Jan 6, 2011
Practice Location
- Address
- 1330 W. RAMSEY
- Address 2
- STE 100
- City
- Banning
- State
- California
- ZIP Code
- 92220
- Phone
- (951) 849-7142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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