LAILANI PONCE

LAUREL, MD
NPI1225439193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070019558)
Enumeration Date2014-09-10
Last Update Date2014-09-10
Business Address
LAILANI PONCE PT
8369 CHERRY LN
LAUREL, MD 20707-4831
Phone number: 240-334-4333
Mailing Address
LAILANI PONCE PT
415 W SAINT LOUIS AVE APT G
EFFINGHAM, IL 62401-2239
Phone number: 618-472-4314
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