Individual
MRS. CYNTHIA CAROL SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
190 W EMPIRE AVE # 1, BENTON HARBOR, MI 49022-7422
(269) 926-8535
(269) 926-8528
Mailing address
1891 PAW PAW AVE, BENTON HARBOR, MI 49022-2647
(269) 861-0768
(269) 926-8528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704095150
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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