Individual
JEANINE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SAINT BARNABAS CIR, FAIRLESS HILLS, PA 19030-3627
(215) 932-9673
Mailing address
102 SAINT BARNABAS CIR, FAIRLESS HILLS, PA 19030-3627
(215) 932-9673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN078178L
PA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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