Individual
TAMARA ELIZABETH IMKEN-BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7791 WOODCHASE APT 1009, SAN ANTONIO, TX 78240-2964
(210) 859-0997
Mailing address
7791 WOODCHASE APT 1009, SAN ANTONIO, TX 78240-2964
(210) 859-0997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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