Individual
MRS. DANIELLE RENEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-3869
Mailing address
1544 CALLE PRIMERA, LOMPOC, CA 93436-2112
(805) 717-8447
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E001256
CA
146N00000X
Basic Emergency Medical Technician
Primary
E1908965
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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