Individual
TONI JO BEAUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5483
Mailing address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5483
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.228890
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN.228890
OH
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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