Individual
DIJAH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6300 W LAKE MEAD BLVD APT 2062, LAS VEGAS, NV 89108-6424
(760) 559-3052
Mailing address
6300 W LAKE MEAD BLVD APT 2062, LAS VEGAS, NV 89108-6424
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200366
CA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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