Individual
JOYCE ELAINE BECKNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 877-1545
Mailing address
7844 W CATHY LYNN DR, MICHIGAN CITY, IN 46360-9355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000285A
IN
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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