Individual
MR. RANDALL BRYAN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2161 REBECCA WAY, LEMON GROVE, CA 91945-3340
(619) 549-8962
Mailing address
2161 REBECCA WAY, LEMON GROVE, CA 91945-3340
(619) 549-8962
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT45136
CA
374U00000X
Home Health Aide
00238371
CA
376K00000X
Nurse's Aide
00770416
CA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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