Individual
AMBER KITRINA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 FRANCISCA AVE, YOUNGSTOWN, OH 44504-1462
(234) 232-4836
Mailing address
523 FRANCISCA AVE, YOUNGSTOWN, OH 44504-1462
(234) 232-4836
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558757
—
OH
Enumeration date
04/20/2021
Last updated
04/20/2021
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