Individual
JASMIN PONCE BALLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9028 ROSE ST, BELLFLOWER, CA 90706-6418
(562) 925-4252
Mailing address
17923 ARLINE AVE APT E, ARTESIA, CA 90701-4182
(562) 644-2372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3133
CA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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