Individual
TAWANDA L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 11TH AVE, NEPTUNE, NJ 07753-5117
(732) 618-4432
Mailing address
1311 11TH AVE, NEPTUNE, NJ 07753-5117
(732) 618-4432
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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