Individual
YOLANDA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 2ND AVE STE B, LAKE CHARLES, LA 70601-8922
(337) 480-9757
(337) 562-1374
Mailing address
3200 2ND AVE STE B, LAKE CHARLES, LA 70601-8922
(337) 480-9757
(337) 562-1374
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA 6866
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004791
—
LA
Enumeration date
07/13/2007
Last updated
07/13/2007
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