TRACEY PONTELLE

ENCINO, CA
NPI1114705621
Former NameTRACEY WITT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  11171)
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
TRACEY PONTELLE
16055 VENTURA BLVD STE 905
ENCINO, CA 91436-2611
Phone number: 818-990-5715
Mailing Address
TRACEY PONTELLE
4537 SUNNYSLOPE AVE
SHERMAN OAKS, CA 91423-3118
Phone number: 818-515-6258
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