Individual
VANESSA JAYNE KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86296371
AZ
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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