Individual
MISS SHELBY VALORA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
1790 SATURN BLVD, USCG MEDICAL CLINIC, NEW ORLEANS, LA 70129
(504) 253-4671
Mailing address
1790 SATURN BLVD, USCG MEDICAL CLINIC, NEW ORLEANS, LA 70129
(504) 253-4671
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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