Individual
CRAIG EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-6597
Mailing address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32731
CA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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