Individual
CYNTHIA E EIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD. CDE
Contact information
Practice address
1210 WASHINGTON ST, CHILLICOTHE, MO 64601-1309
(660) 646-3638
Mailing address
205 E BURDICK ST, HAMILTON, MO 64644-8280
(515) 290-1570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01697
IA
133V00000X
Registered Dietitian
Primary
2013034937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198150
ACADEMY OF NUTRITION AND DIETETICS
MO
Enumeration date
07/29/2006
Last updated
02/17/2014
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