Individual
TIFFANY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4819 MUSKOGEE DR, CHARLOTTE, NC 28212-8229
(980) 989-2590
Mailing address
4819 MUSKOGEE DR, CHARLOTTE, NC 28212-8229
(980) 989-2590
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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