Individual
CORYNE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4555 PINE ST APT 2B, RIVERSIDE, CA 92501-4034
(909) 744-7709
Mailing address
4555 PINE ST APT 2B, RIVERSIDE, CA 92501-4034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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