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Individual

ANN L POLONCAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2823 CLARENDON BLVD, ARLINGTON, VA 22201-2867
(703) 294-6600
(703) 294-9980
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001615
VA

Other

Enumeration date
04/15/2013
Last updated
08/01/2022
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