Individual
TEISHA BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N FILLMORE AVE, STERLING, VA 20164-2628
(703) 599-5146
Mailing address
116 N FILLMORE AVE, STERLING, VA 20164-2628
(703) 599-5146
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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