Individual
BETHANY RAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
591 DRYDEN RD, ZANESVILLE, OH 43701-4707
(740) 297-3299
Mailing address
591 DRYDEN RD, ZANESVILLE, OH 43701-4707
(740) 297-3299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN131852
OH
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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