DAETRA PONNELL

ANTIOCH, CA
NPI1750844031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
DAETRA PONNELL
4849 LONE TREE WAY SUITE C
ANTIOCH, CA 94531-8644
Phone number: 303-989-8169
Mailing Address
DAETRA PONNELL
4849 LONE TREE WAY SUITE C
ANTIOCH, CA 94531-8644
Phone number:
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