Individual
TRACY BLAKE BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CD
Contact information
Practice address
N78W7760 TOPVIEW TRL, CEDARBURG, WI 53012-1930
(414) 467-2216
Mailing address
N78W7760 TOPVIEW TRL, CEDARBURG, WI 53012-1930
(414) 467-2216
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1318-29
WI
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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