Most Relevant Information
Provider Data
| NPI Number: | 1003064189 |
| Provider Name: | INDIA COOKE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/03/2008 |
| Last Updated: | 09/03/2008 |
Provider Practice Location
1560 CAPALINA RD
SAN MARCOS
CA
920691288
Practice Location Phone/Fax
| Phone: | 7607442104 |
| Fax: | 7607441382 |
Provider Mailing Location
1560 CAPALINA RD
SAN MARCOS
CA
920691288
Provider Mailing Phone/Fax
| Phone: | 7607442104 |
| Fax: | 7607441382 |