Most Relevant Information
Provider Data
| NPI Number: | 1003664475 |
| Provider Name: | MAIRA POLANCO-HURTADO |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2024 |
| Last Updated: | 05/09/2024 |
Provider Practice Location
8945 GOLF LINKS RD
OAKLAND
CA
946054124
Practice Location Phone/Fax
| Phone: | 5103171444 |
| Fax: |
Provider Mailing Location
2687 CREEKSIDE DR
SAN LEANDRO
CA
945784637
Provider Mailing Phone/Fax
| Phone: | 5107034328 |
| Fax: |