Individual
BETHANY FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 785-6363
Mailing address
178 MAPLE AVE, MOUNTAIN HOME, TN 37684
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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