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Individual

MS. BERTHANIA DE GUADALUPE BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
540 MOUNTVISTA DR, FAIRBANKS, AK 99712-2661
(907) 250-2196
Mailing address
540 MOUNTVISTA DR, FAIRBANKS, AK 99712-2661
(907) 250-2196

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
NURR37988
AK
164W00000X
Licensed Practical Nurse
Primary
6661
AK

Other

Enumeration date
05/13/2010
Last updated
08/04/2026
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