Tara Latonya Cooper, OTHER

NPI #1245857580 in Tyler, Texas

Provider Information

NPI Number
1245857580
Entity Type
Individual
Name
Tara Latonya Cooper, OTHER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Credential
OTHER
Enumeration Date
Jul 2, 2020
Last Updated
Jul 13, 2021

Practice Location

Address
1743 TROUP HWY
City
Tyler
State
Texas
ZIP Code
75701-5869
Phone
(903) 363-6208

Specialties & Taxonomy Codes

Specialty
Technician, Other
Durable Medical Equipment & Medical Supplies

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