Individual
BETHANIE DANIELLE HAKANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 202-6601
Mailing address
1100 E MINNESOTA AVE, TURLOCK, CA 95382-1516
(209) 202-6601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015528
CA
Other
Enumeration date
11/05/2020
Last updated
12/09/2022
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