Individual
MRS. CYNTHIA MARIE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1785
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60715721
WA
133V00000X
Registered Dietitian
LD-D-000489
OR
Other
Enumeration date
01/31/2013
Last updated
02/01/2017
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