Individual
CAITLIN ELLA BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4403 TUCKERMAN ST, UNIVERSITY PARK, MD 20782-2148
(301) 704-7169
Mailing address
4403 TUCKERMAN ST, UNIVERSITY PARK, MD 20782-2148
(301) 704-7169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004547
MD
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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