Individual
MS. JENNIFER A POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1911 COOKS HILL RD., CENTRALIA, WA 98531
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD., CENTRALIA, WA 98531
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00027525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058825
—
WA
Enumeration date
12/15/2006
Last updated
05/17/2010
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