Individual
BENJAMIN JONATHAN PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 WILLIAMS DR STE 120, OXNARD, CA 93036-2612
(805) 981-9270
Mailing address
PO BOX 6762, OXNARD, CA 93031
(805) 833-1190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
07/13/2022
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