Individual
VANESSA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 309-2400
Mailing address
130 DARTMOUTH ST APT 610, BOSTON, MA 02116-5139
(305) 934-0743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3119
MA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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