Individual
MARILYN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3200 PROVIDENCE DR, E TOWER, SUITE 3030, ANCHORAGE, AK 99508-4615
(907) 212-7980
(907) 212-7981
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
637378
NV
133VN1005X
Renal Nutrition Registered Dietitian
308
AK
Other
Enumeration date
06/13/2006
Last updated
09/23/2014
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