Individual
LATARSHA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9711 DAVID TAYLOR DR APT 228, CHARLOTTE, NC 28262-2376
(704) 564-0949
Mailing address
8410 UNIVERSITY STATION CIR APT 1312, CHARLOTTE, NC 28269-4353
(704) 564-0949
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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