Individual
JANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2121 SANTA MONICA BLVD, ATTN: FOOD & NUTRITION, SANTA MONICA, CA 90404-2303
(310) 829-8260
Mailing address
2121 SANTA MONICA BLVD, ATTN: FOOD & NUTRITION, SANTA MONICA, CA 90404-2303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1107258
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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