SearchCalifornia106H00000X

Wanda Cooper

NPI 1770643348 · on the registry since 2006

Practice

Address
17130 Sequoia Ave
Suite 103
Hesperia, CA 92395
Phone
(760) 949-1939
Fax
(760) 949-1970

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-12

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