Individual
ANDREA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 HAWKINS BLVD., SUITE 100, EL PASO, TX 79925
(915) 320-4710
Mailing address
300 INTERNATIONAL PARKWAY, SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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