Individual
PAMELA A BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 WALNUT ST, POTTER, NE 69156-1066
(083) 879-4434
Mailing address
PO BOX 189, POTTER, NE 69156-0189
(308) 879-4434
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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