Individual
KELLY ELISA BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ATC
Contact information
Practice address
1560 N MINNEWAWA AVE, CLOVIS, CA 93619-7600
(559) 970-3811
Mailing address
718 ATHENS AVE, CLOVIS, CA 93611-7006
(559) 970-3811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
06992609
CA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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