Individual
ADEENA BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
446 GEORGIA AVE APT 2A, BROOKLYN, NY 11207-5227
(917) 250-0963
Mailing address
446 GEORGIA AVE APT 2A, BROOKLYN, NY 11207-5227
(917) 250-0963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322579
NY
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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