Individual
DEBRA POLIVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 S EL CAMINO REAL, SAN MATEO, CA 94402-1704
(844) 670-2273
Mailing address
400 S EL CAMINO REAL, SAN MATEO, CA 94402-1704
(844) 670-2273
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041.367660
IL
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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