| Pavi Elle Shanell Poole, | |
|
16874 Avon Ave, Detroit, MI 48219-4143 | |
| (734) 837-2229 | |
| Not Available |
| Full Name | Pavi Elle Shanell Poole |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 16874 Avon Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003225418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703113526 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pavi Elle Shanell Poole, 16874 Avon Ave, Detroit, MI 48219-4143 Ph: (734) 837-2229 | Pavi Elle Shanell Poole, 16874 Avon Ave, Detroit, MI 48219-4143 Ph: (734) 837-2229 |
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