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Individual

DEVYNN POLOCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 355-0373
Mailing address
382 GRANDPARK CIR, SAN JOSE, CA 95136-2155
(408) 509-9260

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687935
CA

Other

Enumeration date
05/23/2018
Last updated
06/12/2025
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