Individual
CARMEN L PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 SUNSET AVE, LOS ANGELES, CA 90027
(323) 783-8070
Mailing address
4867 SUNSET AVE., LOS ANGELES, CA 90027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9883
CA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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