Individual
AMY PONTIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2510 S LOOP 336 W STE 215-H, CONROE, TX 77304-3701
(281) 305-0411
Mailing address
83 ALDEN GLEN DR, SPRING, TX 77382-1368
(281) 804-4586
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
654941
TX
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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