Individual
SYLVIA PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 326-2695
Mailing address
500 ALASKA, BLOOMFIELD, NM 87413-5385
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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