Search › Virginia › 101YP2500X
Mary Jo Betyak-Eisler
NPI 1710741426 · on the registry since 2024 · sole proprietor
Practice
- Address
- 77 Wagoneers Ln
Stafford, VA 22554 - Phone
- (619) 507-7254
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- VA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-19
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 Virginia