Individual
TANIA R COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6726 E PREMIUM ST, LONG BEACH, CA 90808-4135
(626) 664-3420
Mailing address
6726 E PREMIUM ST, LONG BEACH, CA 90808-4135
(626) 664-3420
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
723597
CA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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