Michelle Cooper

NPI #1972964872 in Kendrick, Idaho

Provider Information

NPI Number: 1972964872
Entity Type: Individual
Name: Michelle Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Mar 19, 2016
Last Updated: Mar 19, 2016

Practice Location

Address: 11984 WENDT RD
City: Kendrick
State: Idaho
ZIP Code: 83537-5047
Phone: (509) 552-6605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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