JULIO POLANCO TAVERAS

STAMFORD, CT
NPI1316620313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  340160)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
JULIO POLANCO TAVERAS
180 BROAD ST APT 1241
STAMFORD, CT 06901-5004
Phone number: 845-200-8233
Mailing Address
JULIO POLANCO TAVERAS
180 BROAD ST APT 1241
STAMFORD, CT 06901-5004
Phone number: 845-200-8233