Individual
DR. ILENE BETH POLHEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15563 UNION AVE, LOS GATOS, CA 95032-3904
(408) 377-2020
(408) 377-2022
Mailing address
15563 UNION AVE, LOS GATOS, CA 95032-3904
(408) 377-2020
(408) 377-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11037T
CA
Other
Enumeration date
01/22/2006
Last updated
11/20/2008
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