Individual
MISS AMANDA LEIGH BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 WEST ST APT 33, MILFORD, NH 03055-4861
(603) 834-0463
Mailing address
93 WEST ST APT 33, MILFORD, NH 03055-4861
(603) 834-0463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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