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Contact Information

JENNIFER L PONDER PETERS
1330 W. RAMSEY
STE 100
BANNING, CA92220
 Phone: 951-849-7142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for JENNIFER L PONDER PETERS · (Female)

NPI Number 1376780296
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2009
Last updated 01/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 33478
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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