Individual
CHRIS BETHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4635 ANTELOPE RD APT 119, ANTELOPE, CA 95843-3967
(916) 290-8169
Mailing address
4635 ANTELOPE RD APT 119, ANTELOPE, CA 95843-3967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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