Individual
MARQUITTA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 RED LEAF CT, CONYERS, GA 30094-8028
(404) 512-3539
Mailing address
2917 RED LEAF CT, CONYERS, GA 30094-8028
(404) 512-3539
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC037270
GA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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