Individual
MRS. BETHANY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
313 SIDNEY BAKER ST S, KERRVILLE, TX 78028-5916
(830) 792-5465
Mailing address
119 BRIARWOOD LN, KERRVILLE, TX 78028-9512
(830) 928-5131
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
306089
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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