Holli Marie Poulakos L.M.T., N.M.T.

NPI 1003956558 - Specialist - 174400000X

NPI Details
NPI 1003956558
Gender Female
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3695 BOARDMAN CANFIELD RD # B
SUITE 100
CANFIELD OH, 44406-9009, US
Phone (330) 702-0500
Fax (330) 702-0575
Business Location
3695 BOARDMAN CANFIELD RD # B
SUITE 100
CANFIELD OH, 44406-9009, US
Phone (330) 702-0500
Fax (330) 702-0575
Toxanomy
Taxonomy Code 174400000X
License State Ohio
License Number 13351
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According to our database, Holli Marie Poulakos L.M.T., N.M.T. NPI is 1003956558, taxonomy code is 174400000X and license number is 13351, license state is located at Ohio. Holli Marie Poulakos L.M.T., N.M.T. physically located at 3695 Boardman Canfield Rd # B, Canfield OH, 44406-9009. NPI Number Holli Marie Poulakos L.M.T., N.M.T. has the Individual type.

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1003956558 NPI number is provided on an as is basis without warranty of any kind. 1003956558 is maintained by the National Plan & Provider Enumeration System. The contents of Holli Marie Poulakos L.M.T., N.M.T. are for informational purposes only.