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Individual

CHRISTEN RENEE BETTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, IBCLC

Contact information

Practice address
12007 N LAMAR BLVD APT 921, AUSTIN, TX 78753-1718
(512) 955-2795
Mailing address
12007 N LAMAR BLVD APT 921, AUSTIN, TX 78753-1718
(512) 955-2795

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-136295
TX
225700000X
Massage Therapist
MT115676
TX

Other

Enumeration date
03/20/2020
Last updated
03/20/2020
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