Individual
BRYNN V BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N 1ST ST, SPRINGFIELD, IL 62702-5115
(217) 788-3792
(217) 788-5562
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 788-3792
(217) 788-5562
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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