Individual
JENNIE A BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(602) 516-2297
Mailing address
20250 W TONTO ST, BUCKEYE, AZ 85326-8255
(602) 516-2297
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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