Individual
TERRY POARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11518 SCHOOL ST, BAKERSFIELD, CA 93307-9148
(661) 363-5394
Mailing address
11518 SCHOOL ST, BAKERSFIELD, CA 93307-9148
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SS1563438
CA
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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