Individual
LILY-ANN SHARIAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2956 JUNIPER ST, FAIRFIELD, CA 94533-1468
(707) 564-8156
Mailing address
2956 JUNIPER ST, FAIRFIELD, CA 94533-1468
(707) 564-8156
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
Y1379713
CA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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