MIRANDA VIOLETA BETHANCOURT

MODESTO, CA
NPI1326718024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  35589)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
MIRANDA VIOLETA BETHANCOURT PT
1825 JULIAN AVE
MODESTO, CA 95354-1675
Phone number: 209-614-6921
Mailing Address
MIRANDA VIOLETA BETHANCOURT PT
1825 JULIAN AVE
MODESTO, CA 95354-1675
Phone number: 209-614-6921
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