Jennifer Martinez De Polanco
Community Health Worker in Stockton, CA. Individual provider (NPI-1).
NPI number1528463189
StatusActive
Last updated in NPPESDec 15, 2023
Details
- NPI
- 1528463189
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Martinez De Polanco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2014
- Certification date
- Dec 15, 2023
- Last updated
- Dec 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
1212 N California StStockton, CA 95202-1552
Phone 209-468-0487
Mailing address
445 N San Joaquin StStockton, CA 95202-2026
Phone 209-444-8910
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All 202 Community Health Worker providers in Stockton · All 11,041 providers in Stockton
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