Provider Demographics
NPI:1669763173
Name:NG, CYNTHIA LEW (RD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LEW
Last Name:NG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 BANBURY CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-6718
Mailing Address - Country:US
Mailing Address - Phone:925-370-2782
Mailing Address - Fax:
Practice Address - Street 1:2328 BANBURY CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-6718
Practice Address - Country:US
Practice Address - Phone:925-370-2782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered