Individual
HALEY THERESA PONTIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, DIPACLM
Contact information
Practice address
4921 AIRLINE DR, METAIRIE, LA 70001-5664
(504) 217-5319
Mailing address
101 W WILLIAM DAVID PKWY APT C, METAIRIE, LA 70005-3360
(504) 237-2223
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
RN137442
LA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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