Individual
MISS CYNTHIA JUNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MPH, CDE
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 204-6537
Mailing address
PO BOX 1490, LOMA LINDA, CA 92354-1490
(909) 796-8528
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
705890
CA
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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