Individual
THERESA ANN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E KASHIAN LN STE 240, FRESNO, CA 93701-2211
(559) 320-0545
(559) 320-0550
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA55969
CA
363AS0400X
Surgical Physician Assistant
PA55969
CA
Other
Enumeration date
09/13/2018
Last updated
11/23/2019
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