Kantrelle Damone Cooper, LPN

NPI #1760050306 in Oak Creek, Wisconsin

Provider Information

NPI Number
1760050306
Entity Type
Individual
Name
Kantrelle Damone Cooper, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 10, 2021
Last Updated
Jun 10, 2021

Practice Location

Address
2700 W HONADEL BLVD
ZIP Code
53154-2650
Phone
(414) 435-2005

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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