Individual
ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
192688
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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