EDSON GEOVANY PONCE

LOS ANGELES, CA
NPI1205304524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
EDSON GEOVANY PONCE
7120 FRANKLIN AVE
LOS ANGELES, CA 90046-3002
Phone number: 323-806-4043
Mailing Address
EDSON GEOVANY PONCE
7120 FRANKLIN AVE
LOS ANGELES, CA 90046-3002
Phone number: 323-806-4043
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