Individual
CRISTINE MICHELLE COPPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18413 BILLEK CT, POOLESVILLE, MD 20837-2510
(301) 661-7427
Mailing address
18413 BILLEK CT, POOLESVILLE, MD 20837-2510
(301) 661-7427
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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