Individual
CAITLYN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Mailing address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
285482
IA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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