Individual
CYNTHIA RITA BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLT (ASCP)#34612
Contact information
Practice address
WOMAC ARMY MEDICAL HOSPITAL, FORT BRAGG, NC 28310-0001
(910) 907-9305
Mailing address
1135 THISTLE GOLD DR, HOPE MILLS, NC 28348-9096
(910) 868-9279
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
34612
OH
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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