Individual
NANCY BYLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000B SOUTH CENTER DRIVE, CLEARLAKE, CA 95422
(707) 994-7090
(707) 994-7092
Mailing address
P. O. BOX 133, FINLEY, CA 95435-5720
(707) 318-4560
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26808
CA
Other
Enumeration date
12/06/2011
Last updated
01/18/2012
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