Individual
ANTHONY PONCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9967 DELIA LN, SANTEE, CA 92071-5039
(707) 364-5071
Mailing address
9967 DELIA LN, SANTEE, CA 92071-5039
(707) 364-5071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
804578
CA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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