MR. Jason Polhamus, ATC

NPI #1043617574 in Irivne, California

Provider Information

NPI Number: 1043617574
Entity Type: Individual
Name: MR. Jason Polhamus, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: ATC
Enumeration Date: Nov 26, 2014
Last Updated: Nov 26, 2014

Practice Location

Address: 4885 ROYCE RD
City: Irivne
State: California
ZIP Code: 92612
Phone: (949) 735-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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