Individual
BETHANY HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
1590 GREEN GROVE AVE, EL CAJON, CA 92021-3567
(847) 436-6668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95148691
CA
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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