Individual
MS. CYNTHIA H CHANTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-6425
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-6425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1714
LA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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