Individual
MR. DEWAYNE ALBERT BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSC
Contact information
Practice address
599 TOMALES RD, USCG TRACEN PETALUMA, PETALUMA, CA 94952-5002
(707) 765-7525
(707) 765-7495
Mailing address
599 TOMALES RD, USCG TRACEN PETALUMA, PETALUMA, CA 94952-5002
(707) 765-7525
(707) 765-7495
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
CA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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