WAHIDA PONCELET

SAN LUIS OBISPO, CA
NPI1396135901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  31669)
Enumeration Date2015-02-03
Last Update Date2015-02-03
Business Address
-- WAHIDA PONCELET PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
Mailing Address
-- WAHIDA PONCELET PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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