BERNICE PUACHE PONCE DE LEON

LAS VEGAS, NV
NPI1689179491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NV  DO3559)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20A19157)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-26
Last Update Date2024-01-30
Business Address
BERNICE PUACHE PONCE DE LEON DO
5940 S RAINBOW BLVD STE 736
LAS VEGAS, NV 89118-2506
Phone number: 626-559-2190
Mailing Address
BERNICE PUACHE PONCE DE LEON DO
5940 S RAINBOW BLVD STE 736
LAS VEGAS, NV 89118-2506
Phone number: 626-559-2190