Individual
AMANDA PONTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S MILLER ST, SUITE 108, SANTA MARIA, CA 93454-5233
(805) 925-9811
Mailing address
201 S MILLER ST, SUITE 108, SANTA MARIA, CA 93454-5233
(805) 925-9811
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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