Most Relevant Information
Provider Data
NPI Number: | 1003530072 |
Provider Name: | ROSANNA POLANCO-FIERRO ASW |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 107299 |
Most Important Dates
Enumeration Date: | 10/03/2022 |
Last Updated: | 05/25/2023 |
Provider Practice Location
2101 COURAGE DR
FAIRFIELD
CA
945336717
Practice Location Phone/Fax
Phone: | 7077843011 |
Fax: |
Provider Mailing Location
2101 COURAGE DR
FAIRFIELD
CA
945336717
Provider Mailing Phone/Fax
Phone: | 7077843011 |
Fax: |