Individual
TERESA SHANAY BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL SPECIALIST
Contact information
Practice address
8285 SIERRA AVE STE 101, FONTANA, CA 92335-3550
(909) 414-2912
Mailing address
PO BOX 2161, COLTON, CA 92324-0810
(909) 787-6534
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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