Individual
REBECCA PONTHIEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
266 PUSHAPATAPA RD, TYLERTOWN, MS 39667-7016
(769) 926-1137
Mailing address
116 E CANAL ST, PICAYUNE, MS 39466-4500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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