Individual
LESLEY PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 MCNUTT RD, SUNLAND PARK, NM 88008-9621
(575) 882-6101
Mailing address
5852 MEGAN ST, SANTA TERESA, NM 88008-5200
(915) 316-7413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPCF23010
NM
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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