Individual
ANGELA M POLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
114 VALENCIA, UNIVERSAL CITY, TX 78148-3112
(830) 515-7410
Mailing address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(310) 737-8090
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29509977
—
TX
Enumeration date
08/25/2019
Last updated
08/25/2019
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