Individual
TIANNA BETSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
10/24/2018
Last updated
10/28/2021
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