Jonathan Paul Bettencourt

NPI #1376944595 in Middleboro, Massachusetts

Provider Information

NPI Number: 1376944595
Entity Type: Individual
Name: Jonathan Paul Bettencourt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 7, 2014
Last Updated: Sep 7, 2014

Practice Location

Address: 404 WAREHAM ST
City: Middleboro
State: Massachusetts
ZIP Code: 02346-3424
Phone: (508) 947-8457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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