Individual
REBECKA LYNN COOPERMAN
Active
Individual
REBECKA LYNN COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
574398
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
20878
CA
364S00000X
Clinical Nurse Specialist
3619
CA
Other
Enumeration date
01/25/2010
Last updated
02/03/2015
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