Individual
MRS. ANDREA PONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3355 COCHRAN ST STE 205, SIMI VALLEY, CA 93063-2500
(661) 347-8342
(661) 481-7277
Mailing address
3355 COCHRAN ST STE 205, SIMI VALLEY, CA 93063-2500
(613) 478-3426
(661) 481-7277
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
567
CA
Other
Enumeration date
04/12/2019
Last updated
10/03/2022
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