Individual
MARY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 BLAKE ST, BETHLEHEM, PA 18017-4909
(484) 542-8099
Mailing address
1025 BLAKE ST, BETHLEHEM, PA 18017-4909
(484) 542-8099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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