Individual
EADEEN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 KENDRICK RD, WAKEFIELD, MA 01880-4308
(617) 866-7629
Mailing address
36 KENDRICK RD, WAKEFIELD, MA 01880-4308
(617) 866-7629
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104003793
CIGNA
—
Enumeration date
08/02/2022
Last updated
08/02/2022
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