Maryknoll Antonio Ponce
Maryknoll Antonio Ponce is a Licensed Psychiatric Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8700
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 42390 (CA) |
|---|
Record details
| NPI number | 1649068024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2025 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 27, 2025 |
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