Individual
COURTNEY ANN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 841-0799
Mailing address
350 KISKADEE LOOP, UNIT B, CONWAY, SC 29526-9777
(302) 841-0799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229880
SC
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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