Individual
MARIANA POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.A.
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
SA00278
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
03-162
IL
Other
Enumeration date
10/16/2006
Last updated
05/01/2013
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