Individual
DONLANDRA OLEXIS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
10516 ABBERLY VILLAGE LN APT 322, FREDERICKSBURG, VA 22407-2725
(585) 613-2670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006603
VA
363A00000X
Physician Assistant
021381
NY
363A00000X
Physician Assistant
—
GA
Other
Enumeration date
10/10/2017
Last updated
12/03/2022
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