Individual
MR. JOSHUA ALLEN POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17270 ROOSEVELT ST, RIVERSIDE, CA 92508-9523
(951) 300-3111
Mailing address
11918 RUDBECKIA CIR, MORENO VALLEY, CA 92557-8623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-GHEKSI
CA
Other
Enumeration date
01/27/2023
Last updated
08/22/2023
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