Individual
BETHANY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8946 MADISON AVE, FAIR OAKS, CA 95628-4010
(916) 438-9569
Mailing address
8950 CAL CENTER DR, SACRAMENTO, CA 95826-3259
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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