Individual
CECILE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Mailing address
7211 HAVEN AVE # 229, RANCHO CUCAMONGA, CA 91701-6064
(909) 717-7366
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
664675
CA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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