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Individual

BETHANY ANN FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
824 S 28TH ST STE B, TACOMA, WA 98409-1105
(253) 590-9685
Mailing address
2802 N NARROWS DR UNIT B2, TACOMA, WA 98407-1450
(253) 590-9685

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WA

Other

Enumeration date
06/22/2007
Last updated
07/08/2007
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