IndividualActive
Dale Bettencourt, RD
NPI 1194171645 · Dietary Manager · Sacramento, CA
Provider details
- NPI number
- 1194171645
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- No
- License
- 1033537 (CA)
Mailing address
6600 Bruceville Rd
Sacramento, CA 95823-4671
Registry dates
- Enumerated
- 2016-05-13
- Last updated
- 2021-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.