Individual
HEATHER POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.N.A
Contact information
Practice address
411 THORPE DR, SANDUSKY, OH 44870-1622
(419) 357-9883
Mailing address
411 THORPE DR, SANDUSKY, OH 44870-1622
(419) 357-9883
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400741080408
OH
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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