Healthcare Provider Details

I. General information

NPI: 1538345913
Provider Name (Legal Business Name): CYNTHIA DALTON CNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 KINGS MILL LN
LONE TREE CO
80124-3176
US

IV. Provider business mailing address

9660 KINGS MILL LN
LONE TREE CO
80124-3176
US

V. Phone/Fax

Practice location:
  • Phone: 303-725-5274
  • Fax: 303-792-3292
Mailing address:
  • Phone: 303-725-5274
  • Fax: 303-792-3292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: