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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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