Individual
MS. DEBRA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LAKE RD, CENTRE HALL, PA 16828-8918
(814) 531-5633
Mailing address
300 LAKE RD, CENTRE HALL, PA 16828-8918
(814) 531-5633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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