Individual
BETHANY DIVAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(510) 612-6455
Mailing address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(510) 612-6455
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95254388
CA
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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