Antonia Ponce

NPI #1124874847 in Fort Worth, Texas

Provider Information

NPI Number: 1124874847
Entity Type: Individual
Name: Antonia Ponce
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 2705 ROSEN AVE
City: Fort Worth
State: Texas
ZIP Code: 76164-6728
Phone: (817) 228-1873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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