Individual
TRA'SHAUN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 W 4TH ST, ONTARIO, OH 44906-1788
(419) 610-7957
Mailing address
PO BOX 1073, MANSFIELD, OH 44901-1073
(419) 610-7957
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
COSM.078617
OH
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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