Individual
MRS. SONYA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T #5343
Contact information
Practice address
45 DEREK JAMES DR, EDGEWOOD, NM 87015-9707
(505) 217-5168
Mailing address
10255 JARASH PL NE, ALBUQUERQUE, NM 87122-3317
(505) 217-5168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5343
NM
Other
Enumeration date
05/13/2007
Last updated
06/08/2012
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