Individual
THOMAS EDWARD BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1452
NM
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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