Elizabeth Angela Fayth Bettencourt
Elizabeth Angela Fayth Bettencourt is a Community Health Worker in Stockton, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
430 N Pilgrim StStockton, CA 95205-4428
Phone: (209) 466-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (CA) |
Record details
| NPI number | 1609693241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 24, 2024 |
| Last updated in NPPES | October 1, 2024 |
| Certification date | October 1, 2024 |
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Raven Jewel Breshears
430 N Pilgrim St, Stockton, CA 95205-4428 · (209) 466-0853