JACKIE POLK

WINTER HAVEN, FL
NPI1922256437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN340111)
Enumeration Date2008-09-09
Last Update Date2008-09-09
Business Address
Mrs. JACKIE POLK LPN
1201 1ST ST S
WINTER HAVEN, FL 33880-3904
Phone number: 863-297-1702
Mailing Address
Mrs. JACKIE POLK LPN
1201 1ST ST S
WINTER HAVEN, FL 33880-3904
Phone number: 863-297-1702
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