Individual
MRS. BETHANY SUE KOCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 MERCER ST, SANDY LAKE, PA 16145-3723
(724) 376-7209
Mailing address
2589 MERCER ST, SANDY LAKE, PA 16145-3723
(724) 376-7209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN258930L
PA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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