Individual
DAKOTA LANA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
3315 S DORSEY LN, TEMPE, AZ 85282-5704
(847) 331-0493
Mailing address
3315 S DORSEY LN, TEMPE, AZ 85282-5704
(847) 331-0493
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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