Individual
DRE'SHON POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
(440) 534-1985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.173704.MEDS-IV
OH
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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