Individual provider · Type 1 NPI
Mary Anne Polucha, DC
Chiropractor · Truckee, CA
NPI number
1871654616
Active
Practice location
13450 Donner Pass Rd, A
Truckee, CA 96161-0456
Mailing address
13450 Donner Pass Rd Apt A
Truckee, CA 96161-3889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 20859 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1871654616
Mary Anne Polucha, DC's National Provider Identifier is 1871654616, issued on Dec 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Truckee, CA. The record was last updated on Feb 27, 2022.