Individual
LORI BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12175 DOUGLAS ST, YUCAIPA, CA 92399-4428
(909) 271-1071
Mailing address
177 SUMMIT VIEW DR, CALIMESA, CA 92320-1710
(909) 744-7522
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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