Individual provider · NPI-1

Jennifer Becker

Technician, Other · Stafford, VA

NPI number1720478266
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1720478266
Entity type
Individual (NPI-1)
Name
Jennifer Becker
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2015
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other0230007072VAYes

Practice location

1090 Stafford Market Pl
Stafford, VA 22556-4523

Phone 540-658-9927 · Fax 540-628-7418

Mailing address

1090 Stafford Market Pl
Stafford, VA 22556-4523

Phone 540-658-9927 · Fax 540-628-7418

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Other Technician, Other providers in Stafford, VA