Provider Demographics
NPI:1659102416
Name:COTE, ALICIA E (CLINICAL NUTRITIONIS)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:E
Last Name:COTE
Suffix:
Gender:F
Credentials:CLINICAL NUTRITIONIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 HIGHWAY 287 N # 1006
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4807
Mailing Address - Country:US
Mailing Address - Phone:682-376-1291
Mailing Address - Fax:
Practice Address - Street 1:1781 HIGHWAY 287 N # 1006
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4807
Practice Address - Country:US
Practice Address - Phone:682-376-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist