Individual
MARY LEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
PO BOX 5560, WENATCHEE, WA 98807-5560
(808) 495-5440
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN00164632
WA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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