Nickolas Vincent Ponce, IDC
NPI #1265951305 in Port Hueneme, California
Provider Information
- NPI Number
- 1265951305
- Entity Type
- Individual
- Name
- Nickolas Vincent Ponce, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Sep 10, 2017
- Last Updated
- Sep 10, 2017
Practice Location
- Address
- 162 1ST ST BLDG 1402
- City
- Port Hueneme
- State
- California
- ZIP Code
- 93043-4316
- Phone
- (805) 982-6320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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