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Betsy Custard
Lodging Provider in Prescott Valley, Arizona
NPI 1164666236

Betsy Custard is a Lodging Provider based in Prescott, AZ. Betsy Custard practices in Prescott Valley, AZ. The NPI Number for Betsy Custard is 1164666236 and holds a License No. 12586 (Arizona).

The current practice location address for Betsy Custard is 3484 N Constance Dr., Prescott Valley, AZ and can be reached out via phone at 928-443-1991.

Location: 3484 N Constance Dr., Prescott Valley, AZ, 86301-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164666236
Provider Name
Betsy Custard
Credential
Provider Entity Type
Individual
Gender
Female
Address
3484 N Constance Dr., Prescott Valley, AZ, 86301-2642
Phone Number
928-443-1991
Fax Number
Provider Enumeration Date
04/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3484 N Constance Dr.
City
Prescott Valley
State
Arizona
Zip
86314
Phone Number
928-443-1991
Fax Number
person
Provider Business Mailing Address Details
Address
3484 N Constance Dr.
City
Prescott Valley
State
Arizona
Zip
86314
Phone Number
928-443-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
12586 (Arizona)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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