DONNA IVETTE PONCE

MOSES LAKE, WA
NPI1710549365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH60980290)
Enumeration Date2019-07-03
Last Update Date2021-05-28
Business Address
DONNA IVETTE PONCE
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-765-0674
Mailing Address
DONNA IVETTE PONCE
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-765-0674
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