Individual
BETHANY ELISE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AVENUE C STE 110, MADISON, WV 25130-1100
(888) 242-8404
Mailing address
1 AVENUE C STE 110, MADISON, WV 25130-1100
(304) 601-5169
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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