Individual
TINA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4716 CHRISTIANSEN RD, LANSING, MI 48910-5186
(517) 749-1415
Mailing address
4716 CHRISTIANSEN RD, LANSING, MI 48910-5186
(517) 749-1415
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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