Individual
DANIELLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020
Mailing address
7804 VISTA LAZANJA, SAN DIEGO, CA 92127-3623
(706) 442-1694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
522827
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95029473
CA
Other
Enumeration date
01/07/2021
Last updated
07/16/2024
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