Individual
MISS CECILY JENNETTE BEAUCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1300 INDUSTRIAL BLVD, SUITE 203A, SOUTHAMPTON, PA 18966-4029
(215) 274-5777
(215) 274-5647
Mailing address
1300 INDUSTRIAL BLVD, SUITE 203A, SOUTHAMPTON, PA 18966-4029
(215) 274-5777
(215) 274-5647
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
04060501
PA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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