Individual
JONATHAN POLIDORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 E ARIZONA ST, PHILADELPHIA, PA 19125-1507
(610) 420-4526
Mailing address
2025 E ARIZONA ST, PHILADELPHIA, PA 19125-1507
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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