Most Relevant Information
Provider Data
| NPI Number: | 1003535485 |
| Provider Name: | BETHANY SCHWAB |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2022 |
| Last Updated: | 08/26/2022 |
Provider Practice Location
2026 SCRAGGS DR
CHARLESTON
WV
253871329
Practice Location Phone/Fax
| Phone: | 3045411532 |
| Fax: |
Provider Mailing Location
2026 SCRAGGS DR
CHARLESTON
WV
253871329
Provider Mailing Phone/Fax
| Phone: | 3045411532 |
| Fax: |