Individual
DR. CYNTHIA A FENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5225 CIRQUE DR W, SUITE 100, UNIVERSITY PLACE, WA 98467-3604
(253) 474-4353
(253) 474-5850
Mailing address
5225 CIRQUE DR W, SUITE 100, UNIVERSITY PLACE, WA 98467-3604
(253) 474-4353
(253) 474-5850
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704105
—
WA
01
—
18889
L & I
WA
Enumeration date
04/12/2007
Last updated
06/16/2010
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