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Individual

DR. JONATHAN PONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 967-3300
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 282-6332

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-2041
HI

Other

Enumeration date
10/06/2022
Last updated
11/22/2023
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