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Individual

MRS. BETTY JO BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDN

Contact information

Practice address
445 TREMONT ST, NORTH TONAWANDA, NY 14120-6150
(716) 690-2341
(716) 690-2590
Mailing address
3045 LARRY CT, NORTH TONAWANDA, NY 14120-1433
(716) 693-0325

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006248
NY

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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