Individual
MARIA MIGUELINA GARCIA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
6584 WALKER RD, RIVERDALE, GA 30296-2642
(787) 564-1828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN263494
GA
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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