Individual
GINA POELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-2516
(415) 507-4160
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-2516
(415) 507-4160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
09/10/2008
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