Individual
BETHANY JANE WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 W MISSION AVE UNIT 460582, ESCONDIDO, CA 92046-7025
(541) 640-1252
Mailing address
1157 W MISSION AVE UNIT 460582, ESCONDIDO, CA 92046-7025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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