Individual
EILEEN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 WYOMING AVE, EL PASO, TX 79902-5522
(915) 600-2069
Mailing address
2917 PINO TRISTE DR, EL PASO, TX 79938-2705
(915) 474-6762
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43375
TX
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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