Individual
GALEY BETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10400 FRICOT CITY ROAD, SAN ANDREAS, CA 95249-9642
(209) 559-2655
Mailing address
15011 LAGO DR, RANCHO MURIETA, CA 95683-9513
(209) 559-2655
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
057001447
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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