Jonathan Paul Bettencourt Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Middleboro, MA
- NPI
- 1376944595
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- S81011543 (MA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-09-07
- Last updated
- 2014-09-07
Practice location
404 Wareham St
Middleboro, MA 02346-3424
(508) 947-8457