Individual
TAMARA LEONARD BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1309 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 933-3212
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 933-3212
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
026564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164W00000X
LPN
NC
Enumeration date
05/18/2017
Last updated
05/18/2017
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