Individual
ROSHOTTA BEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
375 N HIGHLAND ST APT 2, MEMPHIS, TN 38122-4513
(901) 650-1074
Mailing address
375 N HIGHLAND ST APT 2, MEMPHIS, TN 38122-4513
(901) 300-0201
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
0000114597
TN
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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