Individual
GERALDINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 E 14TH ST, ASHTABULA, OH 44004-3616
(440) 850-6113
Mailing address
902 E 14TH ST, ASHTABULA, OH 44004-3616
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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