Individual
TARA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH COACH
Contact information
Practice address
3832 TROPICAL TER, JACKSONVILLE BEACH, FL 32250-3017
(850) 276-0731
Mailing address
3832 TROPICAL TER, JACKSONVILLE BEACH, FL 32250-3017
(850) 276-0731
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
02/17/2022
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