Individual
BETZABE SONALY WINTERMUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
29019 SHADOW VALLEY LN, SANTA CLARITA, CA 91390-1290
(661) 373-7193
Mailing address
29019 SHADOW VALLEY LN, SANTA CLARITA, CA 91390-1290
(661) 373-7193
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-130
CA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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