Individual
TINECKA POOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2823 ELDORADO RD, FAYETTEVILLE, NC 28306-1916
(910) 273-9511
Mailing address
2823 ELDORADO RD, FAYETTEVILLE, NC 28306-1916
(910) 273-9511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
308804
NC
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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