Individual
BETTY JEAN HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 TAVERN RD, MAMMOTH LAKES, CA 93546-6601
(760) 924-1740
Mailing address
1250 SANDSTONE DR, WELLINGTON, NV 89444-9437
(775) 781-1675
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
11/29/2023
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