Individual
EMMA LUISA LORAYNE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7132 PORTLAND AVE, RICHFIELD, MN 55423-3264
(651) 217-3637
Mailing address
7132 PORTLAND AVE, RICHFIELD, MN 55423-3264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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