Individual
ANGELA JILL BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9880 N 77TH AVE, PEORIA, AZ 85345-6667
(623) 486-6479
(623) 486-6487
Mailing address
9880 N 77TH AVE, PEORIA, AZ 85345-6667
(623) 486-6479
(623) 486-6487
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0052351
OK
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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