Individual
BETH BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HAWKS TRL, WALESKA, GA 30183-4620
(941) 468-7091
Mailing address
1532 US HIGHWAY 41 BYP S # 187, VENICE, FL 34293-1032
(941) 468-7091
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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