Individual
BROOKE DARLENE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11720 97TH LN NE, # A408, KIRKLAND, WA 98034-8958
(713) 882-8153
Mailing address
11720 97TH LN NE, # A408, KIRKLAND, WA 98034-8958
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
WA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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