Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G42666 | CA |
NPI | 1760684716 |
---|---|
Provider Name | Dr. Betty C Fletcher |
First Address | Long Beach, CA 90802 |
Second Address | Long Beach, CA 90802-1614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 29/10/2012 |