Individual
VANESSA AGNO PONSONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(866) 733-5924
Mailing address
PO BOX 7062, BURBANK, CA 91510-7062
(818) 219-7577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036235
CA
Other
Enumeration date
08/04/2025
Last updated
09/09/2025
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