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Individual

DANIEL BYWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
113 MAIN STREET SUITE D, SCOTIA, CA 95565-0157
(707) 764-3591
(707) 764-3797
Mailing address
PO BOX 157, SCOTIA, CA 95565-0157
(707) 764-3591
(707) 764-3797

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH52789
CA

Other

Enumeration date
04/09/2012
Last updated
05/15/2020
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