Individual
CATHY COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCHN
Contact information
Practice address
688 N 29TH ST, BOISE, ID 83702-3809
(970) 485-5092
Mailing address
688 N 29TH ST, BOISE, ID 83702-3809
(208) 391-7611
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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