Individual
TONYA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
2323 RANSTEAD ST, PHILADELPHIA, PA 19103-3056
(215) 496-2662
(215) 496-9102
Mailing address
2323 RANSTEAD ST, PHILADELPHIA, PA 19103-3056
(215) 496-2662
(215) 496-9102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005215
PA
Other
Enumeration date
10/21/2014
Last updated
08/12/2015
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