Individual
BETHANY LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 MELROSE AVE STE 210, WEST HOLLYWOOD, CA 90069-5169
(310) 927-3097
Mailing address
3633 MENTONE AVE APT 104, LOS ANGELES, CA 90034-5657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC19708
CA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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