Individual
MRS. ANTRANESE LASHAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13929 HARPER AVE, DETROIT, MI 48213-3672
(313) 371-0055
Mailing address
37930 WESTWOOD CIR APT 102, WESTLAND, MI 48185-1073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115347
MI
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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