Individual
KAYLA COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8265 GOLDEN VALLEY BLVD, MAPLE FALLS, WA 98266-8279
(360) 483-8259
Mailing address
PO BOX 1796, MAPLE FALLS, WA 98266-1796
(360) 483-8259
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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