JOEY NICKOLAS BETTENCOURT

GLENDALE, AZ
NPI1568216166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-11
Last Update Date2024-04-11
Business Address
JOEY NICKOLAS BETTENCOURT DO
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
Mailing Address
JOEY NICKOLAS BETTENCOURT DO
14002 N 49TH AVE UNIT 1118
GLENDALE, AZ 85306-4940
Phone number: 209-204-0827