Individual
SONYA ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10957 JAMIE AVE, PACOIMA, CA 91331-1656
(818) 205-3185
Mailing address
10957 JAMIE AVE, PACOIMA, CA 91331-1656
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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