ALEJANDRO EMMANUEL PONCE SEPULVEDA

DETROIT, MI
NPI1043005176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
ALEJANDRO EMMANUEL PONCE SEPULVEDA
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1888
Mailing Address
ALEJANDRO EMMANUEL PONCE SEPULVEDA
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: