Individual
BETHANY GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.162493.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037136
—
OH
Enumeration date
12/11/2023
Last updated
05/22/2024
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