Individual
MARIE MARTHE BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LASALLE ST, BERWICK, PA 18603-2912
(570) 317-8923
Mailing address
400, LASALLE STREET, BERWICK, PA 18603
(570) 317-8923
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PN277004
PA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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