Individual
JACY BECKENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1025 N DOUTY ST, HANFORD, CA 93230-3722
(559) 537-0170
Mailing address
1025 N DOUTY ST, HANFORD, CA 93230-3722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101546
CA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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