Individual
SUSAN DYWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 COUNTY ROAD 238, CAMERON, TX 76520-5259
(860) 305-6359
Mailing address
323 COUNTY ROAD 238, CAMERON, TX 76520-5259
(860) 305-6359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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