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Nicole Bethavas

NPI 1295275212 · on the registry since 2017

Practice

Address
68 Saint Germain Dr
Clark, NJ 07066
Phone
(848) 467-0248
Organisation at this address
Blossom Therapy And Wellness
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey