Individual
MS. BETTY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-4404
Mailing address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-4404
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3202
FL
Other
Enumeration date
04/30/2015
Last updated
04/26/2026
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