DIANA P BETANCOURT

LAKE CHARLES, LA
NPI1780319632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  188425)
Enumeration Date2022-07-22
Last Update Date2022-07-22
Business Address
DIANA P BETANCOURT CSFA
609 HODGES ST
LAKE CHARLES, LA 70601-4212
Phone number: 407-461-6953
Mailing Address
DIANA P BETANCOURT CSFA
609 HODGES ST
LAKE CHARLES, LA 70601-4212
Phone number: 407-461-6953