Provider Demographics
NPI:1336968957
Name:JOYNER, ERIKKA DONYE
Entity type:Individual
Prefix:
First Name:ERIKKA
Middle Name:DONYE
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8464 DITMAR DR UNIT 15
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3582
Mailing Address - Country:US
Mailing Address - Phone:909-527-0054
Mailing Address - Fax:
Practice Address - Street 1:5080 KINGSLEY ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-3845
Practice Address - Country:US
Practice Address - Phone:909-319-2240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker