Organization
BEEMANS BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M BEEMAN (MANAGING MEMBER)
(909) 882-0193
Entity
Organization
Contact information
Practice address
355 E 21ST ST STE J, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Mailing address
355 E 21ST ST STE J, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
07/31/2024
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