Individual
CARISSA ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 WALNUT ST, RED BLUFF, CA 96080-3611
(530) 527-8491
Mailing address
PO BOX 400, RED BLUFF, CA 96080-0400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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