Individual
DEMARKO POLK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2556 W 12TH ST, ERIE, PA 16505-4508
(814) 835-2960
Mailing address
2556 W 12TH ST, ERIE, PA 16505-4508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
32693628
PA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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