Individual
CHARLES ANTHONY BEASLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 HOTEL CIR N STE 101, SAN DIEGO, CA 92108-2801
(619) 481-3840
Mailing address
1660 HOTEL CIR N STE 101, SAN DIEGO, CA 92108-2801
(619) 481-3840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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