Individual
JORDAN LEI POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 HAREFOOTE ST, HOLLAND, OH 43528-8567
(419) 787-4684
Mailing address
425 HAREFOOTE ST, HOLLAND, OH 43528-8567
(419) 787-4684
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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