Individual
RICHARD GREGORY BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L,M,T
Contact information
Practice address
44876 MARGE PL, TEMECULA, CA 92592-1405
(951) 972-2058
Mailing address
44876 MARGE PL, TEMECULA, CA 92592-1405
(951) 972-2058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36610
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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