Individual
MR. EDGAR BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61905
CA
Other
Enumeration date
09/07/2014
Last updated
07/24/2016
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