Individual
BETHANY SANDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N MAIN ST, BADGER, MN 56714-4004
(218) 528-3258
Mailing address
312 N MAIN ST, BADGER, MN 56714-4004
(218) 528-3258
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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