Individual
PATRICIA BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4617 BARNSTEAD DR, RIVERVIEW, FL 33578-2115
(585) 314-7368
Mailing address
4617 BARNSTEAD DR, RIVERVIEW, FL 33578-2115
(585) 314-7368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325407-1
NY
164W00000X
Licensed Practical Nurse
5228167
FL
Other
Enumeration date
07/12/2016
Last updated
01/02/2017
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