Individual
JULIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 CHESTNUT ST APT 304, PHILADELPHIA, PA 19103-3706
(610) 420-3759
Mailing address
1811 CHESTNUT ST APT 304, PHILADELPHIA, PA 19103-3706
(610) 420-3759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004775
PA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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