Individual
MRS. JUANITA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
1027 ALABAMA ST, VALLEJO, CA 94590-4511
(707) 558-1600
(707) 558-1606
Mailing address
1027 ALABAMA ST, VALLEJO, CA 94590-4511
(707) 558-1600
(707) 558-1606
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT11447
CA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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