Individual
LISA DAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
605 22ND ST W, CHARLESTON, WV 25387-1909
(681) 385-2711
Mailing address
605 22ND ST W, CHARLESTON, WV 25387-1909
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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