Provider Demographics
NPI:1780810960
Name:SANTONE, BETSI L (CERTIFIED NUTRITION)
Entity type:Individual
Prefix:MS
First Name:BETSI
Middle Name:L
Last Name:SANTONE
Suffix:
Gender:F
Credentials:CERTIFIED NUTRITION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:694 JAMESTOWN DR.
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29576
Mailing Address - Country:US
Mailing Address - Phone:843-438-4470
Mailing Address - Fax:843-492-7741
Practice Address - Street 1:694 JAMESTOWN DR.
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:SC
Practice Address - Zip Code:29576
Practice Address - Country:US
Practice Address - Phone:843-438-4470
Practice Address - Fax:843-492-7741
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ63465133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education