Individual
KEONNA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 TAYLOR ST APT 1722, HENDERSON, NV 89015-5429
(725) 306-2447
Mailing address
301 TAYLOR ST APT 1722, HENDERSON, NV 89015-5429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
864617
NV
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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