Individual
MATTHEW POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
(575) 915-1819
Mailing address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
(575) 915-1819
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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