Individual
MISS ANNA MARIE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
491 E ALESSANDRO BLVD, RIVERSIDE, CA 92508-6071
(866) 389-2727
Mailing address
872 HOMESTEAD RD, CORONA, CA 92878-9759
(714) 395-3783
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
516348
CA
363LF0000X
Family Nurse Practitioner
Primary
95017064
CA
Other
Enumeration date
11/10/2006
Last updated
06/08/2021
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