Individual
MRS. DARLENE MARIE BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 WHITE ST, RAYNHAM, MA 02767-1544
(508) 728-8344
Mailing address
175 WHITE ST, RAYNHAM, MA 02767-1544
(508) 728-8344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S19476234
MA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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