Individual
MS. BARENDINA YOLANDA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8326 LAKE ST, SODUS POINT, NY 14555-9613
(315) 483-2130
Mailing address
8326 LAKE ST, SODUS POINT, NY 14555-9613
(315) 483-2130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01656582
—
NY
Enumeration date
11/20/2006
Last updated
07/08/2007
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