Individual
LAKEITHA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12718 LOVERS LN, RIVERVIEW, FL 33579-6814
(813) 304-7557
Mailing address
12718 LOVERS LN, RIVERVIEW, FL 33579-6814
(813) 304-7557
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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