Healthcare Provider Details

I. General information

NPI: 1205903689
Provider Name (Legal Business Name): JANET HOOK MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 04/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BARN DR
CUMBERLAND RI
02864-4105
US

IV. Provider business mailing address

9 BARN DR
CUMBERLAND RI
02864-4105
US

V. Phone/Fax

Practice location:
  • Phone: 401-334-9383
  • Fax: 401-334-9383
Mailing address:
  • Phone: 401-334-9383
  • Fax: 401-334-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberLDN00530
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: