Individual
BETRE WORKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4511 ORCUTT AVE FL ADMIN2, SAN DIEGO, CA 92120-2600
(619) 528-7312
Mailing address
4511 ORCUTT AVE FL ADMIN2, SAN DIEGO, CA 92120-2600
(619) 528-7312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
139417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R72637
TRAINING PERMIT
AZ
Enumeration date
06/23/2011
Last updated
12/01/2021
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