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Individual

VENESSA BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
903 CARDIFF ST, SAN DIEGO, CA 92114-5019
(619) 465-3121
(619) 465-6708
Mailing address
903 CARDIFF ST, SAN DIEGO, CA 92114-5019
(619) 465-3121
(619) 465-6708

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015282
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31235212
PA
Enumeration date
10/08/2020
Last updated
10/08/2020
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