Individual
JUDY NAOMI PONCEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2408
(419) 782-8856
(419) 782-2261
Mailing address
211 BIEDE AVE, DEFIANCE, OH 43512-2408
(419) 782-8856
(419) 782-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.307125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307125
LICENSE
OH
Enumeration date
03/22/2010
Last updated
03/22/2010
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