Individual
MRS. CARLY COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1726 STULTZ GAP RD, WOODSTOCK, VA 22664-3312
(541) 218-6805
Mailing address
1726 STULTZ GAP RD, WOODSTOCK, VA 22664-3312
(541) 218-6805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1079087
OR
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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