Provider Demographics
NPI:1750713772
Name:ALLINGTON, CLEO MARIE (MS RD)
Entity type:Individual
Prefix:MRS
First Name:CLEO
Middle Name:MARIE
Last Name:ALLINGTON
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26630 BARTON RD
Mailing Address - Street 2:# 1723
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4323
Mailing Address - Country:US
Mailing Address - Phone:909-921-9044
Mailing Address - Fax:
Practice Address - Street 1:26630 BARTON RD
Practice Address - Street 2:# 1723
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4323
Practice Address - Country:US
Practice Address - Phone:909-921-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1104604133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered