Individual
MARY BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
1356 S VAN NESS AVE, APT. 101, SAN FRANCISCO, CA 94110-4092
(415) 346-2914
Mailing address
1356 S VAN NESS AVE, APT. 101, SAN FRANCISCO, CA 94110-4092
(415) 346-2914
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
VN120314
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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