Individual
TRACIE N BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W POPLAR ST, WEST YORK, PA 17404-3516
(215) 715-1645
Mailing address
1109 W POPLAR ST, WEST YORK, PA 17404-3516
(215) 715-1645
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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