Individual
MS. BETHANY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-7700
Mailing address
2900 KINGSTON AVE, DAYTON, OH 45420-2628
(517) 240-7034
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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