Individual
ANTWAN JERMAINE BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSII
Contact information
Practice address
2151 COLLEGE AVE, BAKERSFIELD, CA 93305-4113
(661) 868-8037
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-8037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
07/14/2016
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