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Individual
CARINA LAURA VISONA-PONS
Active
Individual
CARINA LAURA VISONA-PONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20541
CA
363LF0000X
Family Nurse Practitioner
20541
CA
363LF0000X
Family Nurse Practitioner
4704351430
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
20541
CA
363LP2300X
Primary Care Nurse Practitioner
4704351430
MI
Other
Enumeration date
08/17/2011
Last updated
04/26/2019
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