Individual
BRISEYDA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 347-1577
Mailing address
6561 FULTON AVE APT 6, VAN NUYS, CA 91401-1311
(818) 290-2989
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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