Individual
LIANA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 873-7400
Mailing address
2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
NM
Other
Enumeration date
05/21/2008
Last updated
10/23/2011
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