Individual
WENDY MARIE COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
(916) 974-7851
Mailing address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
(916) 974-7851
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT32730
CA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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