Individual
IB POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
254 LYNNWAY APT 203, LYNN, MA 01901-1842
(781) 632-2003
Mailing address
254 LYNNWAY APT 203, LYNN, MA 01901-1842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2391525
MA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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