Most Relevant Information
Provider Data
| NPI Number: | 1003403528 |
| Provider Name: | MARTA PONCE MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP-4058 |
Most Important Dates
| Enumeration Date: | 12/30/2020 |
| Last Updated: | 09/27/2024 |
Provider Practice Location
10544 VALDOSTA AVE
LAS VEGAS
NV
891296463
Practice Location Phone/Fax
| Phone: | 2672139712 |
| Fax: |
Provider Mailing Location
67 S HIGLEY RD STE 103-477
GILBERT
AZ
852961166
Provider Mailing Phone/Fax
| Phone: | 2672139712 |
| Fax: |