Individual
MRS. LINDA WILSON BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
345 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 657-9590
Mailing address
110 MITCHELL DR, BRANDON, FL 33511-6831
(813) 404-6006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3331
FL
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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