Provider Demographics
NPI:1588395875
Name:KOPI, EUNICE SARAH
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:SARAH
Last Name:KOPI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9041 SOLAR POINT DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4466
Mailing Address - Country:US
Mailing Address - Phone:916-670-9728
Mailing Address - Fax:
Practice Address - Street 1:9041 SOLAR POINT DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4466
Practice Address - Country:US
Practice Address - Phone:916-670-9728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-18
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95212943163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health