Individual
ANTONET RADAWN BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1777 E WATERFORD CT, 715, AKRON, OH 44313-8510
(419) 610-5612
Mailing address
1777 E WATERFORD CT, 715, AKRON, OH 44313-8510
(419) 610-5612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 143910
OH
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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