Individual
BETSY DONALYN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4660
(559) 733-6428
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4660
(559) 737-4697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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