Individual
MRS. ANNE O'NEAL POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16 RITTER ST, SAN RAFAEL, CA 94901-3323
(415) 457-8182
(415) 457-3490
Mailing address
80 BAYWOOD AVE, SAN ANSELMO, CA 94960-2509
(415) 457-2586
(415) 482-9365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 418826 NP 8392
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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