Individual
CYNTHIA ANNIE BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 757-7000
Mailing address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 757-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1097732
TX
Other
Enumeration date
04/26/2023
Last updated
11/20/2023
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