Individual
MS. SARAH PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNS NP
Contact information
Practice address
205 VIA VIS, APT#93, MONTEBELLO, CA 90640-3853
(323) 226-6701
Mailing address
205 VIA VISTA, MONTEBELLO, CA 90640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
558750
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
15304
CA
364SA2100X
Acute Care Clinical Nurse Specialist
2164
CA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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