Individual
EDNA POLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 VINEYARD LN, MCKINNEY, TX 75070-7652
(908) 937-4903
Mailing address
5021 VINEYARD LN, MCKINNEY, TX 75070-7652
(908) 937-4903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
825034
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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