Individual
ANNA POLUMISKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-4007
(310) 450-0650
(310) 883-1221
Mailing address
1751 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-4007
(310) 450-0650
(310) 883-1221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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