Organization
TRACEY COOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY JEAN COOK RN (RN)
(949) 300-3983
Entity
Organization
Contact information
Practice address
1851 PAROS CIR, COSTA MESA, CA 92626-4709
(949) 300-3983
Mailing address
1851 PAROS CIR, COSTA MESA, CA 92626-4709
(949) 300-3983
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
661472
CA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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