KAREN MICHELLE HERNANDEZ-PONCE

SALT LAKE CITY, UT
NPI1700432937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12472852-1206)
Enumeration Date2019-08-13
Last Update Date2022-10-28
Business Address
KAREN MICHELLE HERNANDEZ-PONCE
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-6367
Phone number: 801-581-2121
Mailing Address
KAREN MICHELLE HERNANDEZ-PONCE
30 N 1900 E # 5R218
SALT LAKE CITY, UT 84132-0002
Phone number: