Individual
CYNTHIA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CEDS
Contact information
Practice address
410 PINE ST SE STE 150, VIENNA, VA 22180-4877
(703) 259-8500
Mailing address
15705 OLD ORCHARD CT UNIT 2S, ORLAND PARK, IL 60462-3569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007138
IL
Other
Enumeration date
08/22/2023
Last updated
08/26/2023
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