Individual
MRS. TERESA COCHRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
11191 LONGWOOD GROVE DR, RESTON, VA 20194-1313
(703) 435-8193
Mailing address
11191 LONGWOOD GROVE DR, RESTON, VA 20194-1313
(703) 435-8193
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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