Individual
MS. CYDNEY BOUBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12560
CO
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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