MICKOYAN NAKITA POOLE

RIALTO, CA
NPI1316201734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  15766)
Enumeration Date2012-06-29
Last Update Date2022-02-07
Business Address
MICKOYAN NAKITA POOLE PA-C
425 E FOOTHILL BLVD
RIALTO, CA 92376-5153
Phone number: 909-546-1005
Mailing Address
MICKOYAN NAKITA POOLE PA-C
425 E FOOTHILL BLVD
RIALTO, CA 92376-5153
Phone number: 909-546-1050
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