Most Relevant Information
Provider Data
| NPI Number: | 1003657636 |
| Provider Name: | BETHANY YENCHA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
2706 NORWOOD AVE
PARKERSBURG
WV
261012760
Practice Location Phone/Fax
| Phone: | 6814734908 |
| Fax: |
Provider Mailing Location
2706 NORWOOD AVE
PARKERSBURG
WV
261012760
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |