Individual
JAMES FENIMORE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(818) 876-1250
(818) 876-1599
Mailing address
1674 LAS FLORES DR, GLENDALE, CA 91207-1200
(818) 414-2398
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
849908
CA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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