Trace Cooper, DOSTUDENT
Trace Cooper, DOSTUDENT is a Student in an Organized Health Care Education/Training Program in Meridian, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1401 E Central DrMeridian, ID 83642-8046
Phone: (208) 795-4266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1326890096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DOSTUDENT |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 1401 E Central Dr, Meridian, ID 83642-8046 |
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