BLADIMIR A POLIO

GARDENA, CA
NPI1104292663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies106S00000X Behavior Technician
171M00000X Case Manager/Care Coordinator
Enumeration Date2015-08-18
Last Update Date2023-08-15
Business Address
BLADIMIR A POLIO
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
Mailing Address
BLADIMIR A POLIO
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020