Individual
MIKAELA C PONCA-MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
617 FRANKLIN AVE APT A, SANTA FE, NM 87505-1058
(505) 490-3379
Mailing address
617 FRANKLIN AVE APT A, SANTA FE, NM 87505-1058
(505) 490-3379
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NM
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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