Individual
BETHANY HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S COLLEGE AVE, NEWARK, DE 19716-2000
(609) 221-9419
Mailing address
46 ENLOW PL, PENNSVILLE, NJ 08070-2031
(609) 221-9419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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