Individual
ELLOIS ESTHER BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1814 LASALLE ST, RACINE, WI 53402-4630
(262) 633-2262
Mailing address
1814 LASALLE ST, RACINE, WI 53402-4630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78340-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39916500
—
WI
Enumeration date
07/04/2006
Last updated
07/09/2007
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