Individual
LEQUITA BEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ,ATC
Contact information
Practice address
601 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1536
(609) 894-9311
Mailing address
78 CATHERINE DR, FRANKLINVILLE, NJ 08322-2764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00132200
NJ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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