Individual
BETH ANN VAWTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
170 W SAN JOSE AVE, SUITE 200, CLAREMONT, CA 91711-5285
(909) 398-0609
Mailing address
1684 SHAMROCK AVENUE, UPLAND, CA 91784
(909) 985-6090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
509362
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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