Individual
TAMMY BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SOUTH STREET, SELKIRK, NY 12158
(518) 767-2119
Mailing address
17 SOUTH STREET, SELKIRK, NY 12158
(518) 767-2119
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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