Betancourt, Ivanna Cristina

Betancourt, Ivanna Cristina is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Betancourt, Ivanna Cristina can be contacted via phone (678) 312-4487.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD005723 Georgia

Profile Details

NPI number 1588231930
LBN Legal business name Betancourt, Ivanna Cristina
Credentials MS, RDN, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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