Individual
BETH HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9764 STATE ROUTE 125, RUSSELLVILLE, OH 45168-8941
(937) 373-1183
Mailing address
9764 STATE ROUTE 125, RUSSELLVILLE, OH 45168-8941
(937) 373-1183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
359933
OH
Other
Enumeration date
08/02/2011
Last updated
05/28/2015
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