Individual
JESSICA MICHELLE COGHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
439 HICKS ST APT 1C, BROOKLYN, NY 11201-5930
(909) 851-6485
Mailing address
6520 AMBROSIA LN APT 1210, CARLSBAD, CA 92011-2616
(909) 851-6485
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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