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Individual

DANIELLE BECERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 MAPLE ST, ASHLAND, OR 97520-1514
(541) 201-1209
(541) 201-1256
Mailing address
135 MAPLE ST, ASHLAND, OR 97520-1514
(541) 201-1209
(541) 201-1256

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202008548LPN
OR

Other

Enumeration date
10/15/2021
Last updated
10/15/2021
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