FREDRICK DAVID BEAVER

COCHISE, AZ
NPI1922282904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2055X Respite Care, Respite Care, Mental Illness, Child
Enumeration Date2007-12-26
Last Update Date2008-01-14
Business Address
-- FREDRICK DAVID BEAVER
2750 N. NINO PLACE
COCHISE, AZ 85606
Phone number: 520-253-0352
Mailing Address
-- FREDRICK DAVID BEAVER
PO BOX 272
DRAGOON, AZ 85609-0272
Phone number: 520-253-0352