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MR. RONNIE DALE BECK

Nursing Facility Supplies >> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1164751038

Individual Registrant:
MR. RONNIE DALE BECK 
Gender: M
Sole Proprietor

Location and contact information for practice:
1101 WIMBLEDON DR  LODI, CA 95240-7022 US
Tel: 209-451-8603  Fax: --

Contact information for business:
1101 WIMBLEDON DR  LODI, CA 95240-7022 US
Tel: 209-451-8603  Fax: --

Registration Information:
NPI: 1164751038
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332BN1400XSuppliers
Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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