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Individual

ANGIE PONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7297 RONSON RD, SUITE H, SAN DIEGO, CA 92111-1427
(858) 278-6603
(858) 278-6605
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 449-0994

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21643
CA

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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