Marnell Joy Becenti

Individual provider Active NPI Attendant Care Provider · Tohatchi, NM

NPI 1336780535 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1336780535
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
N. Hwy 491 Mile Marker 23 .05 Miles West
Tohatchi, NM 87325
Phone
(505) 870-0817
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

N. Hwy 491 Mile Marker 23 .05 Miles West
Tohatchi, NM 87325

Mailing address

PO Box 3596
Gallup, NM 87305
Phone (505) 870-0817

Other providers in Tohatchi, NM

All providers in Tohatchi, NM · Attendant Care Provider in New Mexico

Sources for this page

Verify at the official NPI Registry.