Individual
CHARLEY CHIPS BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 E ORANGEBURG AVE STE 3, MODESTO, CA 95350-5365
(209) 578-1600
Mailing address
2953 SALONIE LN, MODESTO, CA 95355-7968
(209) 289-3808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018175
CA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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