Individual
CHRISTINE C PONZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 5TH ST, GONZALES, CA 93926-9491
(831) 675-3601
(831) 675-3966
Mailing address
850 5TH ST, GONZALES, CA 93926-9491
(831) 675-3601
(831) 675-3966
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
G483377
CA
207Q00000X
Family Medicine Physician
Primary
G48377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53884G
—
CA
Enumeration date
06/30/2005
Last updated
01/04/2016
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