Individual
WENDY ILETA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 OWENS STREET #170, AURORA, CO 80042-0429
(415) 353-2808
Mailing address
1500 OWENS ST STE 170, SAN FRANCISCO, CA 94158-2335
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-22096
CA
363A00000X
Physician Assistant
PA-3409
CO
Other
Enumeration date
03/22/2012
Last updated
07/01/2020
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