Individual
ROSA VIRGINIA COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6957 SE 160TH ST, OLALLA, WA 98359-9513
(360) 536-6986
Mailing address
6957 SE 160TH ST, OLALLA, WA 98359-9513
(360) 536-6986
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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