Most Relevant Information
Provider Data
| NPI Number: | 1003591165 |
| Provider Name: | KULAURI COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2023 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
564 MOUNTAIN RANCH RD
SAN ANDREAS
CA
952499782
Practice Location Phone/Fax
| Phone: | 2094982227 |
| Fax: | 2094982042 |
Provider Mailing Location
564 MOUNTAIN RANCH RD
SAN ANDREAS
CA
952499782
Provider Mailing Phone/Fax
| Phone: | 2147094375 |
| Fax: |