Individual
ERIKA BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1300 GREENCROFT DR, GOSHEN, IN 46526-5145
(574) 202-5927
Mailing address
PO BOX 293, ALLERTON, IA 50008-0293
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1742721J
—
IA
Enumeration date
02/20/2020
Last updated
02/20/2020
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