Individual
CARLINE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 WINDSOR AVE, CENTRALIA, WA 98531-5332
(360) 736-6987
Mailing address
1326 WINDSOR AVE., CENTRALIA, WA 98531
(360) 736-6987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA1146
WA
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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