Individual
MR. JAMES ROBERT COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3107 TERRY AVE, CLOVIS, CA 93612-4947
(559) 292-1233
(559) 292-1332
Mailing address
3107 TERRY AVE, CLOVIS, CA 93612-4947
(559) 292-1233
(559) 292-1332
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BL30375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01199F
—
CA
Enumeration date
10/26/2006
Last updated
07/09/2007
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