Individual
MRS. DONNA JEAN POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6280 N PALO CRISTO DR, KINGMAN, AZ 86409-9230
(928) 692-8026
(928) 692-3603
Mailing address
6280 N PALO CRISTO DR, KINGMAN, AZ 86409-9230
(928) 692-8026
(928) 692-3603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN091305
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN091305
NURSING LICENSE
AZ
Enumeration date
12/06/2006
Last updated
07/08/2007
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