Individual
MS. DIANA BETANCOURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3184 W 72ND ST, HIALEAH, FL 33018-5222
(305) 828-2071
(305) 364-9296
Mailing address
7090 NW 179TH ST APT 305, HIALEAH, FL 33015-5451
(786) 423-2944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
685650196
FL
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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