Most Relevant Information
Provider Data
| NPI Number: | 1003571175 |
| Provider Name: | HERTAYZIA ESHAY COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 87-3080428 |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 11/03/2021 |
Provider Practice Location
3019 NE 20TH WAY
GAINESVILLE
FL
326093395
Practice Location Phone/Fax
| Phone: | 3522833287 |
| Fax: |
Provider Mailing Location
1415 SE 42ND PL
GAINESVILLE
FL
326419268
Provider Mailing Phone/Fax
| Phone: | 3522833287 |
| Fax: |