Individual
DARLA JEAN MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8038 LAUREL PARK CIR, RIVERSIDE, CA 92509-4096
(951) 360-1816
Mailing address
21777 OSPREY LN, MORENO VALLEY, CA 92557-8502
(951) 784-6145
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN170819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RVN002670
—
CA
Enumeration date
01/09/2007
Last updated
08/29/2007
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