Individual
ABIGAIL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12612 N 78TH DR, PEORIA, AZ 85381-5279
(602) 301-4346
Mailing address
12612 N. 78TH DR., PEORIA, AZ 85381
(602) 301-4346
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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