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Organization

DAW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID WEYMOUTH CP (OWNER)
(209) 481-0091
Entity
Organization

Contact information

Practice address
1745 W KETTLEMAN LN, STE. A, LODI, CA 95242-9287
(209) 481-0091
(209) 333-0624
Mailing address
4583 PINE VALLEY CIR, STOCKTON, CA 95219-1871
(209) 333-1148
(209) 333-0624

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP01776
CA

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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