Individual
ARIELLE BEAUVOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PSYCH ASSOC
Contact information
Practice address
10323 SANTA MONICA BLVD STE 102, LOS ANGELES, CA 90025-5056
(424) 421-2273
Mailing address
940 VERNON AVE, VENICE, CA 90291-2839
(650) 438-4317
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
09/24/2024
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