Individual
BETHANY CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 E LUDLOW DR, PHOENIX, AZ 85032-5327
(480) 415-9841
Mailing address
3510 E LUDLOW DR, PHOENIX, AZ 85032-5327
(480) 415-9841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN172573
AZ
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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