Individual
NANCY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1061064
OH
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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