Individual
SANDRA K COOPRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14425 148TH AVE SE, YELM, WA 98597-9175
(808) 294-4564
Mailing address
14425 148TH AVE SE, YELM, WA 98597-9175
(808) 294-4564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60563776
WA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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