Individual
MS. GLENDA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ARCHER ST, BALTIMORE, MD 21230-2515
(443) 860-1072
Mailing address
4717 FREDERICK AVE, BALTIMORE, MD 21229-4035
(410) 525-2399
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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