Individual
MR. IAN TEJANO POLICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7686 WILLIS AVE, VAN NUYS, CA 91405-1224
(181) 878-1570
Mailing address
7686 WILLIS AVE, VAN NUYS, CA 91405-1224
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 191674
CA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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