BRIAN POULOSKY

SOUTH SIOUX CITY, NE
NPI1720897986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2025-01-02
Last Update Date2025-01-02
Business Address
BRIAN POULOSKY
1523 PONDEROSA LN
SOUTH SIOUX CITY, NE 68776-5402
Phone number: 712-212-4532
Mailing Address
BRIAN POULOSKY
1523 PONDEROSA LN
SOUTH SIOUX CITY, NE 68776-5402
Phone number: 712-212-4532