Individual
JEAN M BECKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 WATER ST, DIGHTON, MA 02715
(508) 802-1203
Mailing address
PO BOX 237, NORTH DIGHTON, MA 02764-0237
(508) 802-1203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704857
—
MA
Enumeration date
03/27/2007
Last updated
07/09/2007
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