Individual
BETHANY HADDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 PENNWOOD AVE APT 204, LAS VEGAS, NV 89102-7598
(719) 248-4236
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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