Individual
BETHANI L BACHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4805 W NATIONAL AVE, WEST MILWAUKEE, WI 53214-3523
(414) 380-9749
Mailing address
4805 W NATIONAL AVE, WEST MILWAUKEE, WI 53214-3523
(414) 380-9749
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
682-55
WI
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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