Individual
KEIKO KATHERINE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10032 E SOUTHERN AVE, MESA, AZ 85209-2759
(480) 351-2850
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261612
AZ
Other
Enumeration date
08/08/2021
Last updated
12/08/2022
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