Individual
NICOLE LEE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 UNION AVE, ALTOONA, PA 16602-3247
(814) 505-4426
Mailing address
217 UNION AVE, ALTOONA, PA 16602-3247
(814) 505-4426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN335478L
PA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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