Albert Provencio
Albert Provencio is a Counselor in Pomona, California. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
160 E Holt Ave BPomona, CA 91767-5406
Phone: (909) 620-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1336537554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 23, 2014 |
| Last updated in NPPES | December 23, 2014 |
| Mailing address | 160 E Holt Ave, B, Pomona, CA 91767-5406 |
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