Mickoyan Nakita Poole, PA-C
NPI #1316201734 in Rialto, California
Provider Information
- NPI Number
- 1316201734
- Entity Type
- Individual
- Name
- Mickoyan Nakita Poole, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 29, 2012
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 425 E FOOTHILL BLVD
- City
- Rialto
- State
- California
- ZIP Code
- 92376-5153
- Phone
- (909) 546-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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