Individual provider · Type 1 NPI

Latina Beckett

Student in an Organized Health Care Education/Training Program · Duarte, CA

NPI number 1962012518 Active

Practice location

2335 Mountain Ave
Duarte, CA 91010-3559

Fax (818) 821-6014

Mailing address

12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962012518

Latina Beckett's National Provider Identifier is 1962012518, issued on Aug 7, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duarte, CA. The record was last updated on Aug 7, 2020.