Individual
DONNA LOUSIE BYWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 ELIZABETH BLVD, TWIN FALLS, ID 83301-6938
(208) 733-4384
Mailing address
1751 ELIZABETH BLVD, TWIN FALLS, ID 83301-6938
(208) 733-4384
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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