ELISABETH COOPER

REDDING, CA
NPI1114969003
Former NameELISABETH VANWYKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22308)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  085-002670)
Enumeration Date2006-06-12
Last Update Date2012-09-10
Business Address
Ms. ELISABETH COOPER PA
1035 PLACER ST
REDDING, CA 96001-1125
Phone number: 530-246-5710
Mailing Address
Ms. ELISABETH COOPER PA
PO BOX 992790
REDDING, CA 96099-2790
Phone number: 530-246-5710