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Individual

BETHANY RUTH LINDSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8650 GENESEE AVE, SUITE 314, SAN DIEGO, CA 92122-1134
(858) 622-9266
(858) 622-0513
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7439

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20397
CA

Other

Enumeration date
06/25/2009
Last updated
05/06/2022
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