Organization
L. PEREZ DE PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYDE L PEREZ DE PONCE PLMHP (OWNER)
(402) 616-2718
Entity
Organization
Contact information
Practice address
14421 DUPONT CT, OMAHA, NE 68144-2100
(402) 884-6400
(402) 504-6614
Mailing address
14421 DUPONT CT, OMAHA, NE 68144-2100
(402) 886-6400
(402) 504-6614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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