Individual
BETTINA P HARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A71995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A719950
—
CA
Enumeration date
05/04/2006
Last updated
07/09/2010
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