Individual
ELLAJEAN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 AVE D, SAN FRANCISCO, CA 94130
(415) 970-7515
Mailing address
852 AVENUE D, SAN FRANCISCO, CA 94130-2002
(415) 970-7515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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