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Search › California › 172V00000X

Anita Cook

NPI 1770137168 · on the registry since 2019 · sole proprietor

Practice

Address
801 Empire St
Fairfield, CA 94533
Phone
(707) 425-5744
Organisation at this address
Child Haven Inc
Child Haven, Inc.
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California