Individual
MARNELL JOY BECENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N. HWY 491 MILE MARKER 23 .05 MILES WEST, TOHATCHI, NM 87325
(505) 870-0817
Mailing address
PO BOX 3596, GALLUP, NM 87305
(505) 870-0817
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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