Individual
CYNTHIA BARRON BROUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7094
(660) 885-3679
Mailing address
PO BOX 33, LINCOLN, MO 65338-0033
(660) 547-3840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2000172607
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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