Provider Demographics
NPI:1407282791
Name:TOLEMAN, CYNTHIA JEAN (RD LDN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEAN
Last Name:TOLEMAN
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:C
Other - Middle Name:JEAN
Other - Last Name:TOLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3511 CEMETERY CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21758-9642
Mailing Address - Country:US
Mailing Address - Phone:301-834-8859
Mailing Address - Fax:
Practice Address - Street 1:3511 CEMETERY CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:MD
Practice Address - Zip Code:21758-9642
Practice Address - Country:US
Practice Address - Phone:301-834-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00196133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered