WANDA SOCORRO BETANCOURT RIVERA

SOUTH BEND, IN
NPI1740637370
Professional NameWANDA S BETANCOURT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28217649A)
Additional Taxonomies163WH0200X Registered Nurse, Home Health
(Licence: IN  28217649A)
163WI0500X Registered Nurse, Infusion Therapy
(Licence: IN  28217649A)
163WW0000X Registered Nurse, Wound Care
(Licence: IN  28217649A)
372600000X Adult Companion
(Licence: IN  28217649A)
374U00000X Home Health Aide
(Licence: IN  28217649A)
376J00000X Homemaker
(Licence: IN  28217649A)
376K00000X Nurse's Aide
(Licence: IN  28217649A)
Enumeration Date2016-05-24
Last Update Date2017-06-15
Business Address
Mrs. WANDA SOCORRO BETANCOURT RIVERA RN
2015 W WESTERN AVE STE 132
SOUTH BEND, IN 46619-3561
Phone number: 574-327-0140
Mailing Address
Mrs. WANDA SOCORRO BETANCOURT RIVERA RN
2015 W WESTERN AVE SUITE 132
SOUTH BEND, IN 46619-3544
Phone number: 574-229-8749