Individual
KATHLEEN S. COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-7051
Mailing address
254 N KESSING ST, PORTERVILLE, CA 93257-3424
(559) 781-8500
(559) 781-8300
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM2046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012405230001
—
PA
05
—
1639289564
—
CA
Enumeration date
07/23/2006
Last updated
07/16/2018
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