Healthcare Provider Details

I. General information

NPI: 1255594107
Provider Name (Legal Business Name): CYNTHIA LYNN-SWEARENGIN POUNCEY R.D., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 14010 ANDERSEN HEALTH AND WELLNESS C
APO AP
96543-4010
US

IV. Provider business mailing address

ANDERSEN HEALTH AND WELLNESS CENTER 36 MDOS/SGOAP, UNIT 14010
APO AP
96543-4010
US

V. Phone/Fax

Practice location:
  • Phone: 671-366-2494
  • Fax:
Mailing address:
  • Phone: 671-366-2494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: