Individual
MRS. NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10315 GRAND RIVER RD, 203, BRIGHTON, MI 48116-9594
(810) 588-2324
Mailing address
10315 GRAND RIVER RD, 203, BRIGHTON, MI 48116-9594
(810) 588-2324
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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