Individual
CYNTHIA O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, IBCLC
Contact information
Practice address
11554 W VIOLET CT, BOISE, ID 83713-1513
(208) 891-2394
Mailing address
11554 W VIOLET CT, BOISE, ID 83713-1513
(208) 891-2394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-203
ID
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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