Individual
AMY PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W VAN BUREN AVE STE 206, HARLINGEN, TX 78550-6400
(956) 793-6709
Mailing address
20 LOS AMIGOS, HARLINGEN, TX 78552-9024
(956) 793-6709
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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