Individual
DR. CYNTHIA A BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
29 BLACK COAL, IHS PHS, FORT WASHAKIE, WY 82514
(307) 332-3521
Mailing address
2562 TREASURE DR, S4208, SANTA BARBARA, CA 93105-4198
(307) 332-3521
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
801320
CA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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