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Wendy Viridiana Ponce Hermosillo, MA
Student in an Organized Health Care Education/Training Program in Bloomington, California
NPI 1912691783

Wendy Viridiana Ponce Hermosillo is a Student in an Organized Health Care Education/Training Program based in Bloomington, CA. Wendy Viridiana Ponce Hermosillo practices in Bloomington, CA and has the professional credentials of MA. The NPI Number for Wendy Viridiana Ponce Hermosillo is 1912691783 and holds a License No. (California).

The current practice location address for Wendy Viridiana Ponce Hermosillo is 1070 W Woodcrest St, Bloomington, CA and can be reached out via phone at 909-919-3990.

Location: 1070 W Woodcrest St, Bloomington, CA, 92316-1589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912691783
Provider Name
Wendy Viridiana Ponce Hermosillo
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1070 W Woodcrest St, Bloomington, CA, 92316-1589
Phone Number
909-919-3990
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1070 W Woodcrest St
City
Bloomington
State
California
Zip
92316-1589
Phone Number
909-919-3990
Fax Number
person
Provider Business Mailing Address Details
Address
1070 W Woodcrest St
City
Bloomington
State
California
Zip
92316-1589
Phone Number
909-919-3990
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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