| NPI Details | |
|---|---|
| NPI | 1255695359 |
| Gender | Female |
| Enumeration Date | 07/03/2012 |
| Last Updated | 07/03/2012 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 6127 FAIR OAKS BLVD CARMICHAEL CA, 95608-4818, US |
|
| Phone | (916) 974-8090 |
| Fax | |
| Business Location | |
|---|---|
| 310 HARRIS AVE SUITE A SACRAMENTO CA, 95838-3249, US |
|
| Phone | (916) 649-6793 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | California |
| License Number | I3950412 |
| Remove 1255695359 NPI Number | |
According to our database, Bethany J Brown NPI is 1255695359, taxonomy code is 101YA0400X and license number is I3950412, license state is located at California. Bethany J Brown physically located at 6127 Fair Oaks Blvd, Carmichael CA, 95608-4818. NPI Number Bethany J Brown has the Individual type.
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1255695359 NPI number is provided on an as is basis without warranty of any kind. 1255695359 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany J Brown are for informational purposes only.
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