Individual
BECKY LYNN GARIVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6472 UPPER 54TH ST N, SAINT PAUL, MN 55128-1110
(651) 363-1788
Mailing address
6472 UPPER 54TH ST N, SAINT PAUL, MN 55128-1110
(651) 363-1788
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558808642
NPI NUMBER
MN
01
—
1558808642
NPPES
—
Enumeration date
01/26/2017
Last updated
04/12/2019
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