Individual
MISS ERICA J. BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25600 STATE ROUTE 206, WALHONDING, OH 43843-9706
(740) 824-4756
Mailing address
25600 STATE ROUTE 206, WALHONDING, OH 43843-9706
(740) 824-4756
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2945577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2945577
—
OH
Enumeration date
05/25/2011
Last updated
05/25/2011
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