Individual
DIANA K BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Mailing address
320 HIGH ST NE, WARREN, OH 44481-1222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN136150
OH
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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