Individual
CALEB COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(256) 777-1638
Mailing address
20101 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(256) 777-1638
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95003664
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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