Individual
SHANTEL T POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 NE 5TH AVE, POMPANO BEACH, FL 33064-4401
(954) 932-6592
Mailing address
3391 NE 5TH AVE, POMPANO BEACH, FL 33064-4401
(954) 932-6592
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
0332R17
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/04/2022
Last updated
08/04/2022
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