THOMAS DALE PONTIUS

LONG BEACH, CA
NPI1548388309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  528060)
Additional Taxonomies163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA  528060)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
THOMAS DALE PONTIUS
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
Mailing Address
THOMAS DALE PONTIUS
3021 SOFTWIND WAY
TORRANCE, CA 90505-7129
Phone number: 310-326-7726