Individual
MRS. DIANE ERNESTINE COCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2176
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
593165
WI
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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