EVAN JOHN BETTEY

LAKEPORT, CA
NPI1598279259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2017-11-16
Last Update Date2017-11-16
Business Address
EVAN JOHN BETTEY COTA/L
1291 CRAIG AVE
LAKEPORT, CA 95453-5704
Phone number: 636-544-8557
Mailing Address
EVAN JOHN BETTEY COTA/L
1291 CRAIG AVE
LAKEPORT, CA 95453-5704
Phone number: 636-544-8557
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