DAVITA BEASLEY

CHANTILLY, VA
NPI1356720429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  17346)
Enumeration Date2015-05-22
Last Update Date2015-05-22
Business Address
-- DAVITA BEASLEY
14121 PARKE LONG CT STE 201
CHANTILLY, VA 20151-1647
Phone number: 513-223-8748
Mailing Address
-- DAVITA BEASLEY
14121 PARKE LONG CT STE 201
CHANTILLY, VA 20151-1647
Phone number:
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