SearchCalifornia106H00000X

Johnetta Threadgill-Powderll

NPI 1841874278 · on the registry since 2021 · sole proprietor

Practice

Address
17057 Foothill Blvd Ste 205
Fontana, CA 92335
Phone
(909) 693-3177
Organisation at this address
Square Health, Llc
San Bernardino Senior Care
Trauma And Healing Foundation
Alternate Avenues Womens Resource Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-11

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