Individual
MALLORY ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
500 MONARCH RIDGE DR, WALNUT CREEK, CA 94597-2935
(925) 487-6658
Mailing address
500 MONARCH RIDGE DR, WALNUT CREEK, CA 94597-2935
(925) 487-6658
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86175276
CA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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