Alyssa Ponkey

NPI #1992258065 in Davisburg, Michigan

Provider Information

NPI Number: 1992258065
Entity Type: Individual
Name: Alyssa Ponkey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 26, 2016
Last Updated: Jul 26, 2016

Practice Location

Address: 12415 WINDCLIFF
City: Davisburg
State: Michigan
ZIP Code: 48350-1680
Phone: (248) 875-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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