Healthcare Provider Details

I. General information

NPI: 1396533659
Provider Name (Legal Business Name): BETTINA THERESE E FRANCISCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 SANTA CLARA AVE
ALAMEDA CA
94501-2515
US

IV. Provider business mailing address

2103 CLINTON AVE APT C
ALAMEDA CA
94501-4957
US

V. Phone/Fax

Practice location:
  • Phone: 510-521-1743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: