Individual
CLARISSA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W DALE AVE, MUSKEGON, MI 49441-2248
(231) 855-8042
Mailing address
1101 W DALE AVE, MUSKEGON, MI 49441-2248
(231) 343-8338
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
372600000X
Adult Companion
—
MI
376J00000X
Homemaker
—
MI
Other
Enumeration date
07/09/2025
Last updated
01/20/2026
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