CHANTELLE PONDER

SAN DIEGO, CA
NPI1104467737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
CHANTELLE PONDER IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
CHANTELLE PONDER IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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