Individual
LAUREN NICOLE BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MANILLA CREEK ROAD, POCA, WV 25159
(304) 545-1185
Mailing address
466 MANILLA CREEK ROAD, POCA, WA 25159
(304) 545-1185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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