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
State
Utah
ZIP Code
84720-2615
Phone
(435) 687-4770

Specialties & Taxonomy Codes

Specialty
Technician, Other

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