Individual
AMIAH NICOLE PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 49TH ST, LUBBOCK, TX 79414-1527
(575) 390-7349
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
TX
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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