Provider Demographics
NPI:1821361122
Name:PALMERINO, CYNTHIA RICH (MS, RD, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:RICH
Last Name:PALMERINO
Suffix:
Gender:F
Credentials:MS, RD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8237 CHANCERY CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1515
Mailing Address - Country:US
Mailing Address - Phone:858-212-7239
Mailing Address - Fax:
Practice Address - Street 1:8237 CHANCERY CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1515
Practice Address - Country:US
Practice Address - Phone:858-212-7239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered