Individual
DEBBIE COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
22115 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 884-8100
(818) 884-7808
Mailing address
22115 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 884-8100
(818) 884-7808
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LV11726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7283
—
CA
Enumeration date
11/30/2009
Last updated
11/30/2009
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