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QUANECIA BEASLEY
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1427534676
Individual Registrant: QUANECIA BEASLEY
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
39200 HOOKER HWY BELLE GLADE, FL 33430-5368 US
Tel: 561-996-6517 Fax: --
Tel: 561-996-6517 Fax: --
Contact information for business:
39200 HOOKER HWY BELLE GLADE, FL 33430-5368 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1427534676
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | 6312 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
