Individual
MS. STACI BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YORK RD STE 800, LUTHERVILLE, MD 21093-6011
(800) 410-9508
Mailing address
2 E JOPPA RD APT 976, TOWSON, MD 21286-3166
(717) 881-0575
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
01/30/2023
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