Most Relevant Information
Provider Data
| NPI Number: | 1003402215 |
| Provider Name: | TERALYN BECKER |
| Entity Type: | Individual |
| Taxonomy Code: | 347C00000X |
| Specialty: | Private Vehicle |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2020 |
| Last Updated: | 12/12/2020 |
Provider Practice Location
6467 TERRACE VIEW CT
DAYTON
OH
454243600
Practice Location Phone/Fax
| Phone: | 9373213217 |
| Fax: |
Provider Mailing Location
6467 TERRACE VIEW CT
DAYTON
OH
454243600
Provider Mailing Phone/Fax
| Phone: | 9373213217 |
| Fax: |