Individual
BETHANY M BURCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34434 KING STREET ROW STE 4, LEWES, DE 19958-4987
(302) 360-0142
Mailing address
4923 OGLETOWN STANTON RD STE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0013352
DE
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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