Individual
SHARIA SHONDALE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5205 SWITCHBACK DR, HIGH POINT, NC 27265-2933
(336) 404-9956
Mailing address
331 TRINDALE DRIVE, SITE D 201, ARCHDALE, NC 27263-2933
(336) 404-9956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
065680
NC
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/14/2009
Last updated
05/07/2020
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