Individual
ELISE SIENICKI BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL HOSPITAL TWENTYNINE PALMS, 1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278-8245
(760) 830-2117
Mailing address
DEPARTMENT OF SURGERY NMCSD, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-7577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A157339
CA
Other
Enumeration date
04/10/2017
Last updated
09/04/2024
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