Individual
MRS. STEPHANIE RUTH BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 450-1425
Mailing address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 450-1425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000754
KS
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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