Individual
ERICA L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
HIGHWAY 191 & HOSPITAL ROAD, CHINLE IHS HOSPITAL, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
P.O. DRAWER PH, CHINLE IHS HOSPITAL, CHINLE, AZ 86503
(928) 674-7014
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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