Individual
MELISSA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
701 LOYOLA AVE, NEW ORLEANS, LA 70113-1912
(504) 558-9595
Mailing address
16380 SALLY LN, RIVERSIDE, CA 92504-5640
(951) 261-4309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30000487
LA
164X00000X
Licensed Vocational Nurse
VN235668
CA
Other
Enumeration date
07/01/2015
Last updated
01/28/2025
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