Individual
CICILY RAYE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1735 MISSION ST, SAN FRANCISCO, CA 94103-2417
(415) 565-7667
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015489
CA
Other
Enumeration date
09/18/2020
Last updated
12/13/2021
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