Individual
MRS. JOHNNA COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1003117
CA
Other
Enumeration date
02/02/2010
Last updated
01/03/2022
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