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Individual

ANANDA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN/LPN

Contact information

Practice address
641 N VULCAN AVE APT 105, ENCINITAS, CA 92024-2193
(951) 239-9346
Mailing address
34691 DALEA RD, WINCHESTER, CA 92596-8862
(951) 239-9346

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN-19961-0
HI
164X00000X
Licensed Vocational Nurse
Primary
253696
CA

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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