Individual ProviderCynthia TennantDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address10535 Hospital Way, Mather, CA 95655-4200(828) 507-8397PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia Tennant does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1437770419Provider TypeIndividualFull NameTennant, CynthiaCredentialRDGenderFemaleSole ProprietorNoEnumeration Date5/1/2020Last Updated5/1/2020Contact InformationPractice LocationPractice Address10535 Hospital Way, Mather, CA 95655-4200Phone(828) 507-8397FaxUnlisted FaxMailing LocationMailing Address10535 Hospital Way, Mather, CA 95655-4200Phone(828) 507-8397FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense1046748Provider IdentifiersIDDescriptionIssuerID1046748DescriptionOtherIssuerCOMMISSION ON DIETETIC REGISTRATION