Individual
MRS. GINA MARY BEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8520 N 47TH AVE, GLENDALE, AZ 85302-5100
(623) 237-5010
(623) 237-5015
Mailing address
10919 W LAURELWOOD LN, AVONDALE, AZ 85392-4033
(480) 291-3805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044025
AZ
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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