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Individual

NAOMI LENA BETITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
A146898
CA
208000000X
Pediatrics Physician
A146898
CA
208000000X
Pediatrics Physician
Primary
T2831
TX

Other

Enumeration date
05/06/2013
Last updated
12/02/2021
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