Individual
ANGEL BEEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 RED BRUSH RD, NICHOLS, NY 13812-4221
(607) 349-7993
Mailing address
521 RED BRUSH RD, NICHOLS, NY 13812-4221
(607) 349-7993
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7993
—
NY
Enumeration date
06/10/2019
Last updated
06/10/2019
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