Individual
CHRISTINE E COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-3476
Mailing address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-3476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214676
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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