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Individual

MRS. BETHANY LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1175 TRANCAS ST, NAPA, CA 94558-2907
(707) 258-6053
Mailing address
250 MILLBRAE AVE, SANTA ROSA, CA 95407-8321
(707) 849-5408

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031267
CA

Other

Enumeration date
08/14/2024
Last updated
08/14/2024
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