Individual
POLLY LYNN PORTER TONEMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 687-4921
Mailing address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 687-4921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82152
TX
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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