Individual
BETHANY J. DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1750 112TH AVE NE STE D154, BELLEVUE, WA 98004-3727
(425) 643-9778
(425) 643-6448
Mailing address
1750 112TH AVE NE STE D154, BELLEVUE, WA 98004-3727
(425) 643-9778
(425) 643-6448
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
A1 60045357
WA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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