Individual
MS. CYNTHIA G BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED DIETICIAN N
Contact information
Practice address
410 LINCOLN WAY EAST, MISHAWAKA, IN 46544
(574) 259-5653
(574) 259-5654
Mailing address
410 LINCOLN WAY EAST, MISHAWAKA, IN 46544
(574) 259-5653
(574) 259-5654
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
IL
133V00000X
Registered Dietitian
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635133
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/15/2007
Last updated
08/15/2007
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