Individual
CAREN BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2342
(209) 952-5314
Mailing address
PO BOX 7877, STOCKTON, CA 95267-0877
(209) 955-2342
(209) 952-5314
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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