JERRY FREDERICK PONCE

LOS ANGELES, CA
NPI1609009612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT35664)
Enumeration Date2009-08-25
Last Update Date2009-08-25
Business Address
Mr. JERRY FREDERICK PONCE RPT
2010 WILSHIRE BLVD SUITE 404
LOS ANGELES, CA 90057-3507
Phone number: 213-353-0003
Mailing Address
Mr. JERRY FREDERICK PONCE RPT
2010 WILSHIRE BLVD SUITE 404
LOS ANGELES, CA 90057-3507
Phone number: 213-353-0003
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