Individual
BEVERLY JEAN BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4272 BERKLEY CT, KING GEORGE, VA 22485-5648
(240) 346-7419
Mailing address
4272 BERKLEY CT, KING GEORGE, VA 22485-5648
(240) 346-7419
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001138449
VA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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