Individual
MRS. VALERIA JACQUENETTE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4266
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20660
CA
Other
Enumeration date
10/10/2009
Last updated
12/01/2011
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