Individual
MS. WANDA S. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2722 STETSON LN, HOUSTON, TX 77043-1806
(713) 851-8325
Mailing address
PO BOX 2029, SPRING, TX 77383-2029
(713) 851-8325
(713) 934-7028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
123780
TX
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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