Individual
MS. ANTONIECE KEYONIA-RENEE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 RINGLE ST., ROCHESTER, NY 14619
(585) 284-2972
Mailing address
77 RINGLE ST., ROCHESTER, NY 14619
(585) 284-2972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288814
NY
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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