MRS. Cynthia Thiebolt

NPI #1841552874 in Tonawanda, New York

Provider Information

NPI Number: 1841552874
Entity Type: Individual
Name: MRS. Cynthia Thiebolt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2012
Last Updated: Jun 14, 2012

Practice Location

Address: 318 MORGAN ST
City: Tonawanda
State: New York
ZIP Code: 14150-2027
Phone: (716) 693-1401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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