Individual
DARYL LEWIS ZETLMAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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