Individual
MISS ROSIE F BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NEMT SERVICES
Contact information
Practice address
4458 GRAYTON ST, DETROIT, MI 48224-4006
(586) 422-2879
Mailing address
37336 CAMELLIA LN, CLINTON TOWNSHIP, MI 48036-2018
(586) 422-2879
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B240744261924
MI
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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