Individual
CANDACE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MS
Contact information
Practice address
2112 DUNDALK AVE, BALTIMORE, MD 21222-3714
(410) 288-4800
Mailing address
2229 SAINT PAUL ST APT 1, BALTIMORE, MD 21218-5922
(815) 370-7787
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
86087659
MD
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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