Individual
MRS. ALTHEA PONTOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 PRAIRIE DRIVE, HAWTHORNE, FL 32640
(352) 481-3331
(352) 481-5249
Mailing address
144 PRAIRIE DRIVE, HAWTHORNE, FL 32640
(352) 481-3331
(352) 481-5249
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
269536
FL
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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