Most Relevant Information
Provider Data
| NPI Number: | 1003283425 |
| Provider Name: | JENNINE PONCE-SOLORIO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2015 |
| Last Updated: | 09/02/2015 |
Provider Practice Location
2550 E FOOTHILL BLVD
PASADENA
CA
911073406
Practice Location Phone/Fax
| Phone: | 6262545000 |
| Fax: |
Provider Mailing Location
1195 N MARENGO AVE
PASADENA
CA
911032645
Provider Mailing Phone/Fax
| Phone: | 6263761534 |
| Fax: |