Individual
MADISYN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
871 IBIS WALK PL N UNIT 7203, SAINT PETERSBURG, FL 33716-3843
(518) 956-3185
Mailing address
871 IBIS WALK PL N UNIT 7203, SAINT PETERSBURG, FL 33716-3843
(518) 956-3185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND8087
PRACTICE LICENSE
FL
Enumeration date
10/19/2020
Last updated
10/19/2020
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