Individual
JESSICA ANN POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 CAMPUS DR STE 240, NEWPORT BEACH, CA 92660-2269
(562) 397-1070
Mailing address
19303 ANSEL, IRVINE, CA 92618-0170
(562) 397-1070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9723
CA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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