Individual
JOANNA MARIE BETTINESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
601 N OKLAHOMA PL, KENNEWICK, WA 99336-1055
(541) 969-9843
Mailing address
601 N OKLAHOMA PL, KENNEWICK, WA 99336-1055
(541) 969-9843
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60750704
WA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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