Individual
MR. DANIEL POLHEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(907) 617-2113
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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