Individual
BETHANY LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 N VALLEY DR, WISCONSIN RAPIDS, WI 54494-8035
(715) 323-6387
Mailing address
3711 N VALLEY DR, WISCONSIN RAPIDS, WI 54494-8035
(715) 323-6387
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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