Individual
MR. DANIEL POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3313 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2691
(617) 522-0650
Mailing address
63 GESLER ST APT A32, PROVIDENCE, RI 02909-1586
(617) 522-0650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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