DIANA MARIBEL PONCE

LOS ANGELES, CA
NPI1376255075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA67478)
Enumeration Date2022-12-14
Last Update Date2026-02-13
Business Address
DIANA MARIBEL PONCE
2602 VALLEJO ST
LOS ANGELES, CA 90031-3032
Phone number: 323-332-8149
Mailing Address
DIANA MARIBEL PONCE
2602 VALLEJO ST
LOS ANGELES, CA 90031-3032
Phone number: 323-332-8149
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