Individual
BETHELHEM D DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4809
(916) 480-0979
Mailing address
4905 OLIVE OAK WAY, CARMICHAEL, CA 95608-5636
(916) 607-5378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89458
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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