Individual
DEVASTASHA BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15 E ERIE ST, JEFFERSON, OH 44047-1410
(440) 812-7630
Mailing address
15 E ERIE ST, JEFFERSON, OH 44047-1410
(440) 812-7630
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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