IndividualActive
Dvonn Ponce, LMT, CA
NPI 1063535318 · Contractor · Phoenix, AZ
Provider details
- NPI number
- 1063535318
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT, CA
- Sex
- Female
- Sole proprietor
- Yes
- License
- #MT-00923P (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
13832 N 32nd St Ste 126
Phoenix, AZ 85032-5616
Phone: (602) 493-2273
Fax: (602) 493-2159
Approximate (ZIP-level) locationGet directions
Mailing address
13832 N 32nd St Ste 126
Phoenix, AZ 85032-5616
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.