Individual
BRADEN BEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
330 BOWMAN ST, UNIT 1, WILKES BARRE, PA 18702-5448
(570) 823-5808
(570) 970-2725
Mailing address
330 BOWMAN ST, UNIT #1, WILKES BARRE, PA 18702-5448
(570) 823-5808
(570) 970-2725
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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