Individual
JESSICA POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5837 BIENVENUE AVE, MARRERO, LA 70072-4703
(504) 357-7404
Mailing address
5837 BIENVENUE AVE, MARRERO, LA 70072-4703
(504) 357-7404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16161616
NONE
LA
Enumeration date
11/19/2020
Last updated
11/19/2020
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