Most Relevant Information
Provider Data
| NPI Number: | 1003408907 |
| Provider Name: | BETSI HENKE |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2021 |
| Last Updated: | 02/11/2021 |
Provider Practice Location
1016 39TH ST
VIENNA
WV
261052748
Practice Location Phone/Fax
| Phone: | 3044812833 |
| Fax: |
Provider Mailing Location
1016 39TH ST
VIENNA
WV
261052748
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |