Individual
MS. BETSY ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45 MANTUA GROVE RD TRLR U2, WEST DEPTFORD, NJ 08066-1737
(856) 224-1191
Mailing address
45 MANTUA GROVE RD TRLR U2, WEST DEPTFORD, NJ 08066-1737
(856) 224-1191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6NP03194700
NJ
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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