Individual
JANIE ELIZABETH PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16303 SCARBERY RD, RAMONA, CA 92065-4249
(760) 788-0671
Mailing address
975 MONTECITO WAY, RAMONA, CA 92065-1624
(760) 315-7457
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0937242
DRIVER LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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