Individual
CYNTHIA STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Mailing address
800 S MAIN ST, CORONA, CA 92882-3420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
974458
CA
Other
Enumeration date
10/06/2011
Last updated
03/03/2012
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