Individual
BETHANY LEA GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5609 23RD ST, SACRAMENTO, CA 95822-3124
(240) 779-3451
Mailing address
5609 23RD ST, SACRAMENTO, CA 95822-3124
(240) 779-3451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95229674
CA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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