BROOKE LYNN ELLIE BEACH

CHARLOTTE, NC
NPI1952150930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-14
Last Update Date2024-05-14
Business Address
BROOKE LYNN ELLIE BEACH
511 QUEENS RD APT 302
CHARLOTTE, NC 28207-1595
Phone number: 419-796-7636
Mailing Address
BROOKE LYNN ELLIE BEACH
511 QUEENS RD APT 302
CHARLOTTE, NC 28207-1595
Phone number: 419-796-7636