Individual
ERIC HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 HALLMAN LN, OAKDALE, CA 95361-4202
(209) 300-8800
Mailing address
402 HALLMAN LN, OAKDALE, CA 95361-4202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN702444
CA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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