Individual
JAMES BRENDON BEUALIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 S 2ND ST, BONHAM, TX 75418-4701
(580) 678-9227
Mailing address
309 S 2ND ST, BONHAM, TX 75418-4701
(580) 678-9227
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
307723
TX
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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