Individual
MS. HALEY JANE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-9056
Mailing address
8470 HEATHER DR, RAPID CITY, SD 57702-7708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
05/02/2024
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