Individual
JAIME WATSON BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N UNION ST, DANVILLE, VA 24541-1030
(434) 770-6836
(434) 373-8053
Mailing address
496 HOMESTEAD TRL, RINGGOLD, VA 24586-5154
(434) 770-6836
(434) 373-8053
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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