Individual
DARRELL BYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
599 CANAL ST, 3, LAWRENCE, MA 01840-1244
(978) 686-8202
Mailing address
599 CANAL ST, 3, LAWRENCE, MA 01840-1244
(978) 686-8202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209770261
—
MA
Enumeration date
08/12/2016
Last updated
08/12/2016
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