Individual
BETHANY JOY SEELIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
(304) 815-3489
Mailing address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
085456
NC
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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