Individual
KAREN ARACELI PONCE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7270
Mailing address
9660 MAGNOLIA ST, BLOOMINGTON, CA 92316-1438
(818) 614-7544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
312022
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2017
Last updated
03/29/2024
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