Individual
ELEANOR COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W 65TH AVE, PHILADELPHIA, PA 19120-1026
(267) 974-6256
Mailing address
108 MARGARETTA DR, MIDDLETOWN, DE 19709-9821
(267) 205-6763
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282236
PA
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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