EBONY RENE VENABLE

SAN BERNARDINO, CA
NPI1508493495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34496)
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
EBONY RENE VENABLE LPT
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 909-361-6472
Mailing Address
EBONY RENE VENABLE LPT
3572 BANBURY DR APT 31
RIVERSIDE, CA 92505-1928
Phone number: 909-361-6472