Keely Dawn Ponce

NPI #1134691413 in Ontario, Oregon

Provider Information

NPI Number
1134691413
Entity Type
Individual
Name
Keely Dawn Ponce
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Dec 26, 2018
Last Updated
Jan 3, 2019

Practice Location

Address
702 SUNSET DR
State
Oregon
ZIP Code
97914-3121
Phone
(541) 889-9167

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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