Individual
MS. ANNA MIRIAM BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
690 BARNES BOULEVARD, MCCHORD AFB AIRMEN'S CLINIC, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 982-7973
(253) 982-0332
Mailing address
4811 DAVIS PL S UNIT B, RENTON, WA 98055-7988
(425) 572-0327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU00002007
WA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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