Individual
MRS. JOLENE BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95036198
CA
Other
Enumeration date
07/25/2025
Last updated
07/27/2025
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