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Individual

DANIELLE POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
(240) 686-2300
Mailing address
12420 MILESTONE CENTER DR STE 200, GERMANTOWN, MD 20876-7111
(240) 686-2300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005737
VA
363A00000X
Physician Assistant
C0005430
MD

Other

Enumeration date
07/24/2014
Last updated
08/27/2020
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