Individual
MAVIE BARBARA BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8947 SW 107TH AVE, MIAMI, FL 33176-1412
(305) 596-0840
(305) 595-9119
Mailing address
P.O. BOX 406153, ATLANTA, GA 30384-1876
(561) 478-8770
(561) 598-7231
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AZ600
FL
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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