Individual
BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 MERCER ST STE D, PRINCETON, WV 24740-3114
(304) 431-2443
Mailing address
363 PILOT ST, PRINCETON, WV 24740-6234
(304) 809-5757
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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