Individual
TRACIE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS
Contact information
Practice address
750 MORRIS RD SE, LOS LUNAS, NM 87031-5242
(505) 866-2318
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
06/25/2015
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