Individual
BETHANY A. GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
Mailing address
PO BOX 222, NEW HOLLAND, PA 17557-0222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN556457
PA
Other
Enumeration date
05/20/2011
Last updated
06/19/2011
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