Individual
JENNIFER BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5104 W REDBIRD RD, PHOENIX, AZ 85083-1296
(623) 594-9499
(623) 594-3499
Mailing address
5104 W REDBIRD RD, PHOENIX, AZ 85083-1296
(623) 594-9499
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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