Individual
ALYSSA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S 7TH ST, PRINCETON, WV 24740-3100
(304) 431-2443
Mailing address
1203 AUGUSTA ST, BLUEFIELD, WV 24701-4401
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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