Individual
MRS. HAYDEE SILVIA POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 W GLASS LN, PHOENIX, AZ 85041-6131
(602) 243-0297
Mailing address
3625 W GLASS LN, PHOENIX, AZ 85041-6131
(602) 243-0297
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10929
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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