SearchArizona177F00000X

Betsy Custard

NPI 1164666236 · on the registry since 2009 · sole proprietor

Practice

Address
3484 N Constance Dr.
Prescott Valley, AZ 86314
Phone
(928) 443-1991

Registry record

Primary taxonomy
177F00000X
177F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona