Individual
MS. ABIGAIL BLASIA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 SLEEPY HOLLOW DR, LEXINGTON, MO 64067-1534
(660) 251-1157
Mailing address
1901 SLEEPY HOLLOW DR, LEXINGTON, MO 64067-1534
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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