Individual
KATHERINE COPOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
254 FAIRWOOD DR, OAKDALE, CA 95361-8238
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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