BETHANY JOHNSON

CHRISTOPHER, IL
NPI1952769275
Former NameBETHANY SHEPARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043108877)
Enumeration Date2016-02-01
Last Update Date2016-02-01
Business Address
-- BETHANY JOHNSON LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-2401
Mailing Address
-- BETHANY JOHNSON LPN
103 COMMERCE ST
CARMI, IL 62821-2223
Phone number: 618-384-5686