Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X | |||
Point of Service |
305S00000X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1306613609 |
| LBN Legal business name | BETHLEHEM LLC |
| Authorized official | TIGIST SEWOYA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/06/2023 |
| Last updated | 12/06/2023 - About 2 years ago |
| Identifiers | n/a |
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BETHLEHEM LLC
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