Individual
DAISY BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 SOUTH DE LACEY AVENUE, SUITE 110, PASADENA, CA 91105
(626) 395-7100
Mailing address
210 SOUTH DE LACEY AVENUE, SUITE 110, PASADENA, CA 91105
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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