Individual
MS. ELYSE LAUREN BYRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 I ST, DAVIS, CA 95616-4213
(530) 601-5959
(916) 287-4679
Mailing address
212 I ST, DAVIS, CA 95616-4213
(530) 601-5959
(916) 287-4679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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