Individual
STEPHEN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4638 H ST SE APT 205, WASHINGTON, DC 20019-4987
(571) 888-2506
Mailing address
2621 TARLETON CORNER DR, HERNDON, VA 20171-4497
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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