Julio Polanco Taveras
NPI #1316620313 in Stamford, Connecticut
Provider Information
- NPI Number
- 1316620313
- Entity Type
- Individual
- Name
- Julio Polanco Taveras
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 8, 2023
- Last Updated
- Aug 8, 2023
Practice Location
- Address
- 180 BROAD ST APT 1241
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06901-5004
- Phone
- (845) 200-8233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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