Individual
BETHANN SUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 WALNUT ST, MCKEESPORT, PA 15132-7300
(412) 664-1448
Mailing address
4201 WALNUT ST, MCKEESPORT, PA 15132-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN693133
PA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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