Individual
MRS. KATHLEEN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(999) 999-9999
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN
AZ
Other
Enumeration date
09/28/2006
Last updated
10/14/2014
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