Individual
TY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2344 OLD SONOMA RD, BUILDING G, NAPA, CA 94559-3708
(707) 259-8753
Mailing address
2344 OLD SONOMA RD, BUILDING G, NAPA, CA 94559-3708
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P20637
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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