Individual
KATARZYNA HANNA POTOCKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(386) 868-1992
Mailing address
728 N OLEANDER AVE, DAYTONA BEACH, FL 32118-3827
(386) 315-9775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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