Most Relevant Information
Provider Data
| NPI Number: | 1003251208 |
| Provider Name: | CYNTHIA ANN MALLOY RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 970529 |
Most Important Dates
| Enumeration Date: | 05/02/2013 |
| Last Updated: | 05/02/2013 |
Provider Practice Location
3200 VINE ST
CINCINNATI
OH
452202213
Practice Location Phone/Fax
| Phone: | 5138613100 |
| Fax: |
Provider Mailing Location
3200 VINE ST
CINCINNATI
OH
452202213
Provider Mailing Phone/Fax
| Phone: | 5138613100 |
| Fax: |