Chantelle Ponder, IDC
Chantelle Ponder, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone: (619) 532-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098 — (619) 532-6400
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1104467737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | October 4, 2019 |
| Last updated in NPPES | October 4, 2019 |
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