Individual
MR. KARLTON JAMES BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
249 E UPJOHN AVE, RIDGECREST, CA 93555-4175
(757) 773-1888
Mailing address
249 E UPJOHN AVE, RIDGECREST, CA 93555-4175
(757) 773-1888
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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