Individual
AMY BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 93307-1365
(661) 322-3905
(661) 322-1370
Mailing address
PO BOX 1559, 1430 TRUXTON AVENUE STE 400 ATTN: ANN LEE CLINICA SIERR, BAKERSFIELD, CA 93302-1559
(661) 635-3050
(661) 869-1503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17978
CA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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