Individual
BETHANY ANN AGBISIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 W SHAW AVE # 107, FRESNO, CA 93711-3229
(559) 476-2115
Mailing address
3433 W SHAW AVE # 107, FRESNO, CA 93711-3229
(559) 476-2115
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
MPSS-TRDBIY
CA
Other
Enumeration date
11/11/2019
Last updated
01/22/2024
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