Individual
MS. BONNIE J POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1591 CARPENTIER ST, SAN LEANDRO, CA 94577-4470
(559) 307-5606
Mailing address
1591 CARPENTIER ST, SAN LEANDRO, CA 94577-4470
(559) 307-5606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3913
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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