Provider Demographics
NPI:1487832226
Name:POLLEY, SUNEIL FRANCES (ND, LAC)
Entity Type:Individual
Prefix:
First Name:SUNEIL
Middle Name:FRANCES
Last Name:POLLEY
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-3922
Mailing Address - Country:US
Mailing Address - Phone:360-336-2815
Mailing Address - Fax:360-336-2856
Practice Address - Street 1:321 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-3922
Practice Address - Country:US
Practice Address - Phone:360-336-2815
Practice Address - Fax:360-336-2815
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002978171100000X
WANT00001412175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist