Individual
MR. RONNIE DALE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 WIMBLEDON DR, LODI, CA 95240-7022
(209) 451-8603
Mailing address
1101 WIMBLEDON DR, LODI, CA 95240-7022
(209) 451-8603
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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