Individual
GINA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
638 W CLARK ST, MOD G, EUREKA, CA 95501-4413
(707) 441-5039
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
05/11/2021
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