Individual
MRS. LILY BETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(224) 723-0339
Mailing address
1389 STOCKBRIDGE DR, SAN JOSE, CA 95130-1254
(224) 723-0339
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95022518
CA
Other
Enumeration date
09/09/2022
Last updated
04/17/2023
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