Individual
KELSEY BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 EAST AVE, LIVERMORE, CA 94550-9698
(925) 980-6640
Mailing address
7000 EAST AVE, LIVERMORE, CA 94550-9698
(925) 980-6640
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
762308
CA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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