EILZABETH CONVERY COPPOLA

LONGVIEW, WA
NPI1578557195
Former NameEILZABETH C CROSBY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI00001498)
Enumeration Date2005-09-09
Last Update Date2009-09-24
Business Address
-- EILZABETH CONVERY COPPOLA BS, MS
600 BROADWAY ST
LONGVIEW, WA 98632-3256
Phone number: 360-636-4943
Mailing Address
-- EILZABETH CONVERY COPPOLA BS, MS
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2048
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