Tiffany E Polo
NPI #1548640873 in King William, Virginia
Provider Information
- NPI Number
- 1548640873
- Entity Type
- Individual
- Name
- Tiffany E Polo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 2, 2015
- Last Updated
- Jul 16, 2015
Practice Location
- Address
- 1041 SHARON RD
- Address 2
- SUITE 205
- City
- King William
- State
- Virginia
- ZIP Code
- 23086-3347
- Phone
- (804) 746-1677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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