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Individual

MRS. LUTISSE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2520 BREAKWATER COURT, WALDORF, MD 20601
(301) 932-5443
Mailing address
2520 BREAKWATER CT, WALDORF, MD 20601-2675
(301) 932-5443

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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