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Individual

MRS. REGINA BETTIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.N.A

Contact information

Practice address
3134 E 6TH PLZ, PANAMA CITY, FL 32401-5230
(850) 640-0056
(850) 640-0481
Mailing address
PO BOX 36934, PANAMA CITY, FL 32412-6934
(850) 640-0056
(850) 640-0481

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
169268
FL

Other

Enumeration date
11/01/2013
Last updated
11/01/2013
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