Individual
SIMEON POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., L.M.T.
Contact information
Practice address
8830 CAMERON CT, SUITE 602, SILVER SPRING, MD 20910-4114
(301) 495-0303
Mailing address
8830 CAMERON STREET, SUITE 602, SILVER SPRING, MD 20910-4110
(301) 495-0303
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
UO1179
MD
172M00000X
Mechanotherapist
M02382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FB48S
CAREFIRST BLUE CROSS BLUE SHIELD
MD
01
—
M903
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
01/13/2009
Last updated
01/13/2009
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