Individual
MIKALA BETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 UNIVERSITY AVE, MORGANTOWN, WV 26505-0147
(304) 555-5555
Mailing address
2744 UNIVERSITY AVE, MORGANTOWN, WV 26505-0147
(304) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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