Individual
SHIRLEY YVONNE BECARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 W 148TH ST, GARDENA, CA 90249-3356
(310) 347-2077
Mailing address
1813 W 148TH ST, GARDENA, CA 90249-3356
(424) 205-7669
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C3668994
CA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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