Individual
MS. BETHANEY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4745 N 7TH ST STE 432, PHOENIX, AZ 85014-3665
(602) 433-1200
Mailing address
4745 N 7TH ST STE 432, PHOENIX, AZ 85014-3665
(602) 433-1200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
301680
TX
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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