Individual
MRS. BECKY LYNN STUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12636 SW FRONTIER TRAIL ST, ANDOVER, KS 67002-8211
(419) 680-4505
Mailing address
12636 SW FRONTIER TRAIL ST, ANDOVER, KS 67002-8211
(419) 680-4505
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
501144080706
OH
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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