IVORY BETHUNE

Driver

Active Individual
NPI: 1427722727

Practice Address

5949 LAWNDALE ST
Philadelphia, PA 19120

Phone: (215) 439-1435

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1427722727 is the National Provider Identifier for IVORY BETHUNE, a Driver provider located in Philadelphia, PA. This NPI was enumerated on August 2, 2021.
IVORY BETHUNE practices at 5949 LAWNDALE ST, Philadelphia, PA 19120.

Quick Facts

NPI
1427722727
Type
Individual
Enumerated
Aug 2, 2021
Last Updated
Aug 2, 2021

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