Individual
IESHA BETHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 SHARP LN, APT 502, BATON ROUGE, LA 70815-1400
(225) 916-9433
Mailing address
567 SHARP LN, APT 502, BATON ROUGE, LA 70815-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN134835
LA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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