SearchWashington133V00000X

Cheryl Costomiris, REGISTERED DIETITIAN

NPI 1770233173 · on the registry since 2022 · sole proprietor

Practice

Address
1415 E Kincaid St
Mount Vernon, WA 98274
Phone
(360) 814-8329
Fax
(360) 814-5515
Organisation at this address
Dynacare Northwest
Anesthesia Service Inc Ps
Public Hospital District #1
Public Hospital District #1
Advanced Imaging Northwest, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
129

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington