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Individual

JANE WETHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(951) 704-8741
Mailing address
10623 MORAINE CIR APT 102, LOUISVILLE, KY 40223-3694
(951) 704-8741

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001307368
VA

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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