Individual
TONNIE BEEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
618 E FORGE AVE, MESA, AZ 85204-4915
(480) 823-0136
Mailing address
618 E FORGE AVE, MESA, AZ 85204-4915
(480) 823-0136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP035365
AZ
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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