Individual
PEGGY MARIE POOLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
2650 PARKER ST, BERKELEY, CA 94704-3036
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 404774 NPR 7179
CA
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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