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Jody Becker

Technician in Modesto, CA. Individual provider (NPI-1).

NPI number1962039701
StatusActive
Last updated in NPPESMar 23, 2020

Details

NPI
1962039701
Entity type
Individual (NPI-1)
Name
Jody Becker
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 23, 2020
Certification date
Mar 23, 2020
Last updated
Mar 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

609 5th St
Modesto, CA 95351-3316

Phone 209-341-0718

Mailing address

609 5th St
Modesto, CA 95351-3316

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