Individual
ADRIENNE PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16603 PLYMOUTH RD STE 1, DETROIT, MI 48227-1036
(313) 468-9847
Mailing address
24886 CANOE DR, MACOMB, MI 48042-4543
(586) 339-4870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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