Individual
MS. CHARMAINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2149
(202) 269-7391
(202) 269-7032
Mailing address
3013 CASTLE GARDEN WAY, OLNEY, MD 20832-1432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN960294
DC
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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