THERESA G PONCE

EL CENTRO, CA
NPI1437294279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 26962)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mrs. THERESA G PONCE LPT
202 N 8TH ST
EL CENTRO, CA 92243-2302
Phone number: 760-482-4034
Mailing Address
Mrs. THERESA G PONCE LPT
545 WENSLEY AVE
EL CENTRO, CA 92243-3954
Phone number: 760-353-8910