Individual
TRACY DEON BEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
82 HIGHWAY 454, PINEVILLE, LA 71360
(318) 443-9388
(318) 445-1544
Mailing address
82 HIGHWAY 454, PINEVILLE, LA 71360
(318) 443-9388
(318) 445-1544
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
86283
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1168181
—
LA
Enumeration date
06/02/2008
Last updated
06/02/2008
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