Individual
DR. BETH ELAINE WADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 E LAKE ST, MOUNT SHASTA, CA 96067-2331
(530) 435-5048
(602) 603-5084
Mailing address
PO BOX 1350, MOUNT SHASTA, CA 96067-1350
(530) 926-0398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G86395
CA
Other
Enumeration date
11/20/2006
Last updated
05/14/2024
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