Individual
BETHANY RENE DALGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1417 BUTLER AVE PH 4, LOS ANGELES, CA 90025-3168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95032059
CA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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