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MR. RONNIE DALE BECK
Nursing Facility Supplies >> Durable Medical Equipment & Medical Supplies >> SuppliersRegistrant NPI Number: 1164751038
Individual Registrant:MR. RONNIE DALE BECK
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1101 WIMBLEDON DR LODI, CA 95240-7022 US
Tel: 209-451-8603 Fax: --
Tel: 209-451-8603 Fax: --
Contact information for business:
1101 WIMBLEDON DR LODI, CA 95240-7022 US
Tel: 209-451-8603 Fax: --
Tel: 209-451-8603 Fax: --
Registration Information:
NPI: 1164751038
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
