Faith Harville-Polk
Community Health Worker in Cotati, CA. Individual provider (NPI-1).
NPI number1124782008
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1124782008
- Entity type
- Individual (NPI-1)
- Name
- Faith Harville-Polk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
8595 Lark DrCotati, CA 94931-5332
Phone 707-703-3746
Mailing address
8595 Lark DrCotati, CA 94931-5332
Phone 707-703-3746
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