Individual
VALERIE PENA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
543 7TH ST SE, CEDAR RAPIDS, IA 52401-1929
(319) 861-7895
(319) 861-7677
Mailing address
543 7TH ST SE, CEDAR RAPIDS, IA 52401-1929
(319) 861-7895
(319) 861-7677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-51350
IA
390200000X
Student in an Organized Health Care Education/Training Program
57.248240
OH
Other
Enumeration date
07/15/2019
Last updated
04/17/2024
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