Individual
DR. JODI REEVES POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1708 19TH ST, SANTA MONICA, CA 90404-4418
(310) 453-8684
Mailing address
1708 19TH ST, SANTA MONICA, CA 90404-4418
(310) 453-8684
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC17792
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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