Individual
ILIANA DEL ORBE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 951-6460
Mailing address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 951-6460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018430
NC
Other
Enumeration date
08/16/2022
Last updated
09/12/2023
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