Individual
ELODIE MARIE BETANCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNETT AVE, ML 4002, CINCINNATI, OH 45229
(718) 579-5000
Mailing address
3333 BURNET AVE, ML 4002, CINCINNATI, OH 45229
(718) 219-5472
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35.141668
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/27/2018
Last updated
11/11/2024
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