Individual
SUSAN GAIL POLASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 WATER ST, STE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
Mailing address
819 WATER ST, STE 300, KERRVILLE, TX 78028-5333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07330
TX
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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