Individual
ANGELA MAE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-3342
Mailing address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-3342
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2696
MN
133V00000X
Registered Dietitian
Primary
2969
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2969
RD LICENSURE
MN
Enumeration date
05/10/2011
Last updated
05/18/2015
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