Organization
BEEMAN'S BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA MICHELL BEEMAN (OWNER)
(909) 882-0193
Entity
Organization
Contact information
Practice address
355 E 21ST STREET, SUITE J,, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Mailing address
355 E 21ST STREET, SUITE J,, SAN BERNARDINO, CA 92404-4851
(909) 882-0193
(909) 883-4834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
06/01/2006
Last updated
08/19/2024
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