Individual
BETHANY LOUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
527 E ST, MARYSVILLE, CA 95901-5529
(530) 743-5300
Mailing address
527 E ST, MARYSVILLE, CA 95901-5529
(530) 743-5300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95004204
CA
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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