Individual
BETHANY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18675 PARKLAND DR APT 401, SHAKER HEIGHTS, OH 44122-3467
(216) 912-8925
Mailing address
18675 PARKLAND DR APT 401, SHAKER HEIGHTS, OH 44122-3467
(216) 912-8925
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2941099
—
OH
Enumeration date
06/16/2014
Last updated
06/16/2014
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