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Chantelle Ponder, IDC
NPI 1104467737 · on the registry since 2019 · sole proprietor
Practice
- Address
- 34800 Bob Wilson Dr
San Diego, CA 92134 - Phone
- (619) 532-6400
- Organisation at this address
- Usn
Nmcsd
Nmcsd
Nmcsd
Us NavyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,481
Additional practice sites
- 34800 Bob Wilson Dr, San Diego, CA
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Female
- Record last updated
- 2019-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California