Individual
BETSY BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4211 N 3RD ST, PHILADELPHIA, PA 19140-2609
(267) 901-8462
Mailing address
4211 N 3RD ST, PHILADELPHIA, PA 19140-2609
(267) 901-8462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN269900
PA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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