Jackie M Ponder

NPI #1508369539 in Fernley, Nevada

Provider Information

NPI Number
1508369539
Entity Type
Individual
Name
Jackie M Ponder
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Mar 15, 2018
Last Updated
Mar 15, 2018

Practice Location

Address
33 PRIMTON WAY
State
Nevada
ZIP Code
89408-8593
Phone
(775) 575-5786

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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