Individual
MARIA PAULA BETANCUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023013212
MO
363A00000X
Physician Assistant
PA9115193
FL
Other
Enumeration date
04/20/2020
Last updated
07/06/2023
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