Individual
MRS. THERESE MARIE BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
461 N WINSTED ST, SPRING GREEN, WI 53588-9472
(608) 588-0550
Mailing address
461 N WINSTED ST, SPRING GREEN, WI 53588-9472
(608) 588-0550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310737-31
WI
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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