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Individual

MELITA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1322 IRON FORGE RD, DISTRICT HEIGHTS, MD 20747-1717
(202) 967-5247
Mailing address
1322 IRON FORGE RD, DISTRICT HEIGHTS, MD 20747-1717
(202) 967-5247

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
417923
MD
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/19/2022
Last updated
01/15/2026
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