Search › Ohio › 164W00000X
Mattie Polk
NPI 1821537465 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2316 E 34th St
Cleveland, OH 44115 - Phone
- (216) 000-0000
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio