Individual
MRS. CYNTHIA ANN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5659
(765) 456-5819
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5659
(765) 456-5819
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000339A
IN
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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