Individual
BETHANY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
135790
OH
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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