Individual
LAURA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 PALM AVE, IMPERIAL BEACH, IMPERIAL BEACH, CA 91932-9193
(619) 799-9517
(619) 424-8983
Mailing address
1155 PALM AVE, IMPERIAL BEACH, CA 91932-1626
(619) 799-9517
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
588FFDDAC1C09
CA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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