Individual
BORIS POLJUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 579-8392
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 579-8392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/01/2016
Last updated
06/14/2023
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