Individual
ANNA COOKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 254-5000
Mailing address
PO BOX 3105, RANCHO CUCAMONGA, CA 91729-3105
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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