MS. Cynthia G Boynton, LICENSED DIETICIAN N

NPI #1881886653 in Mishawaka, Indiana

Provider Information

NPI Number: 1881886653
Entity Type: Individual
Name: MS. Cynthia G Boynton, LICENSED DIETICIAN N
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: LICENSED DIETICIAN N
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 410 LINCOLN WAY EAST
City: Mishawaka
State: Indiana
ZIP Code: 46544
Phone: (574) 259-5653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary
Dietitian, Registered	133V00000X

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