Bethany Rose Nickerson
NPI #1902120504 in Cedar City, Utah
Provider Information
- NPI Number
- 1902120504
- Entity Type
- Individual
- Name
- Bethany Rose Nickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Mar 25, 2010
- Last Updated
- Mar 25, 2010
Practice Location
- Address
- 54 N 200 E
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84720-2615
- Phone
- (435) 687-4770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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