Individual
BETHANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0003
(478) 334-4936
Mailing address
2138 11TH AVE, HUNTINGTON, WV 25703-2012
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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