Individual
ELAINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
5919 SUNNY CIR, MIRA LOMA, CA 91752-2147
(208) 847-5763
Mailing address
5919 SUNNY CIR, MIRA LOMA, CA 91752-2147
(208) 847-5763
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
523956
CA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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