Individual
DR. MARLINA SARA PONCE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 556-7600
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO2023-0063
NM
207Q00000X
Family Medicine Physician
DO2023-0063
NM
Other
Enumeration date
06/12/2020
Last updated
02/22/2024
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